Ms Jennifer Lynn Wendt, MA | |
1541 Annex Rd, Jefferson, WI 53549-9803 | |
(920) 674-8717 | |
(920) 674-2359 |
Full Name | Ms Jennifer Lynn Wendt |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 1541 Annex Rd, Jefferson, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578793964 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC4064-125 (Wisconsin) | Primary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 4064-125 (Wisconsin) | Secondary |
Entity Name | Jefferson County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275614919 PECOS PAC ID: 2264496801 Enrollment ID: O20041115000371 |
Mailing Address | Practice Location Address |
---|---|
Ms Jennifer Lynn Wendt, MA 1541 Annex Rd, Jefferson, WI 53549-9803 Ph: (920) 674-8717 | Ms Jennifer Lynn Wendt, MA 1541 Annex Rd, Jefferson, WI 53549-9803 Ph: (920) 674-8717 |
Brittany Long, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-3105 | |
Amanda Sass, MA, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-3105 | |
Kimberly Miller, LCSW, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-3105 | |
Danielle Graham - Heine, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-3105 Fax: 920-674-6113 | |
Ms. Holly Rae Pagel, MSW Counselor Medicare: Medicare Enrolled Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-8108 Fax: 920-674-8114 | |
Mrs. Amanda Rae Lightner, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-8197 Fax: 920-674-6113 | |
Amy Porter, LPC, CSAC Counselor Medicare: Medicare Enrolled Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-3105 |