Mrs Heidi Schildt, MSE | |
400 E Grand Ave, Beloit, WI 53511-6200 | |
(608) 368-8087 | |
(608) 312-2061 |
Full Name | Mrs Heidi Schildt |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 400 E Grand Ave, Beloit, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982055463 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2223-226 (Wisconsin) | Primary |
Entity Name | Stateline Mental Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538560255 PECOS PAC ID: 1658655865 Enrollment ID: O20170308001000 |
Mailing Address | Practice Location Address |
---|---|
Mrs Heidi Schildt, MSE 2540 Lori Ann Dr, Beloit, WI 53511-1927 Ph: (608) 289-0945 | Mrs Heidi Schildt, MSE 400 E Grand Ave, Beloit, WI 53511-6200 Ph: (608) 368-8087 |
Mr. Gregory Arthur Ammon, LPC MS NCC Counselor Medicare: Medicare Enrolled Practice Location: 1969 W Hart Road, Beloit, WI 53511 Phone: 608-364-5686 Fax: 608-363-5756 | |
Rhonda S Doherty, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 64 Eclipse Cetner, Beloit, WI 53511 Phone: 608-363-6200 | |
Mr. Haven Macgregor Mcclure, APSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1517 E Huebbe Pkwy Ste A, Beloit, WI 53511 Phone: 815-276-4432 Fax: 608-713-9040 | |
Mrs. Sally J Greer, MS LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1969 W Hart Rd, Beloit, WI 53511 Phone: 608-364-5686 Fax: 608-363-5756 | |
Mary T Pauli, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 136 W Grand Ave Ste 250, Beloit, WI 53511 Phone: 608-346-8315 | |
Sarah Jane Petersen, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 540 E Grand Ave, Beloit, WI 53511 Phone: 608-368-8087 | |
Mrs. Cristina Lynne Kroeze, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1969 W Hart Rd, Counseling Care Center, Beloit, WI 53511 Phone: 608-364-5686 |