Mrs Michelle R Eddy, MSW, LCSW is a
Social Worker - Clinical based in Green Bay, Wisconsin. Mrs Michelle R Eddy is licensed to practice in Wisconsin (license number 6671-123) and her current practice location is
2701 Larsen Rd Ste 216, Green Bay, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 883-6995.
NPI number for Mrs Michelle R Eddy is 1285981779 and her current mailing address is 2701 Larsen Rd Ste 216, Green Bay, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285981779.
Healthcare Provider's Profile
| Full Name | Mrs Michelle R Eddy |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 2701 Larsen Rd Ste 216, Green Bay, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1285981779
- Provider Enumeration Date: 08/14/2012
- Last Update Date: 12/04/2017
Medical Identifiers
Medical identifiers for Mrs Michelle R Eddy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285981779 | NPI | - | NPPES |
| 100027601 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 6671-123 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6671-123 (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. Mrs Michelle R Eddy 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 Michelle R Eddy, MSW, LCSW
2701 Larsen Rd Ste 216,
Green Bay, WI 54303-4863
Ph: (920) 883-6995 | Mrs Michelle R Eddy, MSW, LCSW
2701 Larsen Rd Ste 216,
Green Bay, WI 54303-4863
Ph: (920) 883-6995 |
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