Mr Vernon Wayne Forman, CERTIFICATIONS in Port Washington, WI

Mr Vernon Wayne Forman, CERTIFICATIONS is a Counselor - Addiction (substance Use Disorder) based in Port Washington, Wisconsin. Mr Vernon Wayne Forman is licensed to practice in Wisconsin (license number 1701) and his current practice location is 722 S Spring St, Port Washington, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (262) 483-0048.

NPI number for Mr Vernon Wayne Forman is 1952403966 and his current mailing address is 722 S Spring St, Port Washington, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1952403966.

Contact Information

	Mr Vernon Wayne Forman, CERTIFICATIONS
	722 S Spring St, Port Washington, WI 53074-2334
	(262) 483-0048
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Vernon Wayne Forman
Gender	Male
Speciality	Counselor - Addiction (substance Use Disorder)
Location	722 S Spring St, Port Washington, Wisconsin
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1952403966
Provider Enumeration Date: 09/01/2006
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Vernon Wayne Forman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952403966	NPI	-	NPPES
1701	Other	WI	CERT. AODA COUNSELOR III
11482	Other	WI	CERT. CLIN. SUPERVISOR II

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	1701 (Wisconsin)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Vernon Wayne Forman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Vernon Wayne Forman, CERTIFICATIONS 722 S Spring St, Port Washington, WI 53074-2334 Ph: (262) 483-0048	Mr Vernon Wayne Forman, CERTIFICATIONS 722 S Spring St, Port Washington, WI 53074-2334 Ph: (262) 483-0048

Reviews and Comments

Counselor in Port Washington, WI

Mrs. Ashley Ann Schmitz, LPC, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 127 N Franklin St Ste 206, Port Washington, WI 53074 Phone: 262-235-4385 Fax: 414-310-0377
Jessica Ollman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 W Main St, Port Washington, WI 53074 Phone: 262-284-8148 Fax: 262-284-8209
Mrs. Heather Lynn Carlson, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 W Main St, Port Washington, WI 53074 Phone: 262-284-8229 Fax: 262-284-8104
Marcy Drummy, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1317 W Grand Ave, Port Washington, WI 53074 Phone: 262-284-5789 Fax: 262-284-5907
Bonnie Halper, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1317 W Grand Ave, Port Washington, WI 53074 Phone: 262-284-5789 Fax: 262-284-5907
Christina M Johnson, CAPSW, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 W Main St, Port Washington, WI 53074 Phone: 262-284-8200 Fax: 262-284-8103
Carol Falk, MSW, LCSW, CADC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 E Pier St, Port Washington, WI 53074 Phone: 262-284-3117 Fax: 262-284-3087

Mr Vernon Wayne Forman, CERTIFICATIONS - Counselor in Port Washington, WI