Mrs Lisa Louise Wild, MSED, MSW is a
Counselor - Professional based in Pinckneyville, Illinois. Mrs Lisa Louise Wild is licensed to practice in Illinois (license number ) and her current practice location is
313 S Walnut St, Pinckneyville, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 357-1407.
NPI number for Mrs Lisa Louise Wild is 1184733693 and her current mailing address is 313 S Walnut St, Pinckneyville, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184733693.
Healthcare Provider's Profile
Full Name | Mrs Lisa Louise Wild |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 313 S Walnut St, Pinckneyville, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1184733693
- Provider Enumeration Date: 08/29/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Lisa Louise Wild such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184733693 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | (Illinois) | 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. Mrs Lisa Louise Wild 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 |
Mrs Lisa Louise Wild, MSED, MSW 313 S Walnut St, Pinckneyville, IL 62274-1342 Ph: (618) 357-1407 | Mrs Lisa Louise Wild, MSED, MSW 313 S Walnut St, Pinckneyville, IL 62274-1342 Ph: (618) 357-1407 |
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