Mrs Raeann Wichlacz, CADC III in Abbotsford, WI

Mrs Raeann Wichlacz, CADC III is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Abbotsford, Wisconsin. Her current practice location is 106 Galvin Road, Abbotsford, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (175) 223-0480.

Mrs Raeann Wichlacz is licensed to practice in Wisconsin (license number 11042) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1942253315.

Contact Information

	Mrs Raeann Wichlacz, CADC III
	106 Galvin Road, Abbotsford, WI 54405
	(175) 223-0480
	(715) 223-1611

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Raeann Wichlacz
Gender	Female
Speciality	Counselor - Addiction (substance Use Disorder)
Location	106 Galvin Road, Abbotsford, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942253315
Provider Enumeration Date: 05/18/2006
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 9032269030
Enrollment ID: I20240304001459

Medical Identifiers

Medical identifiers for Mrs Raeann Wichlacz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942253315	NPI	-	NPPES
39380400	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	11042 (Wisconsin)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Raeann Wichlacz allows following entities to bill medicare on her behalf.

Entity Name	Raeann Wichlacz
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508840992 PECOS PAC ID: 3678623675 Enrollment ID: O20090612000495

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 Raeann Wichlacz is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Raeann Wichlacz, CADC III 106 Galvin Road, P.o. Box 447, Abbotsford, WI 54405 Ph: (175) 223-0480	Mrs Raeann Wichlacz, CADC III 106 Galvin Road, Abbotsford, WI 54405 Ph: (175) 223-0480

Reviews and Comments

Counselor in Abbotsford, WI

Trista Holly Raycher, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 Galvin Rd, Abbotsford, WI 54405 Phone: 715-223-0480
Ms. Judith Anne Davis, CADC-D Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 Galvin Road, Abbotsford, WI 54405 Phone: 715-223-0480 Fax: 715-223-1611
Lanny Parker, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 Galvin Road, Abbotsford, WI 54405 Phone: 715-223-0480 Fax: 715-223-1611
Brittany Koplitz, LPC-IT, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 Galvin Road, Abbotsford, WI 54405 Phone: 715-223-0480
Ted Obermann, CSAC CS-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 Galvin Rd., Abbotsford, WI 54405 Phone: 715-223-0480

Mrs Raeann Wichlacz, CADC III - Medicare Counselor in Abbotsford, WI