Ms Nancy Ann Fennema, MSSW is a
Social Worker - Clinical based in Green Bay, Wisconsin. Ms Nancy Ann Fennema is licensed to practice in Wisconsin (license number 1999-123) and her current practice location is
1825 Riverside Dr, Green Bay, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 272-8234.
NPI number for Ms Nancy Ann Fennema is 1568776979 and her current mailing address is 1825 Riverside Dr, Green Bay, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568776979.
Healthcare Provider's Profile
| Full Name | Ms Nancy Ann Fennema |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1825 Riverside Dr, 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: 1568776979
- Provider Enumeration Date: 07/28/2010
- Last Update Date: 07/28/2010
Medical Identifiers
Medical identifiers for Ms Nancy Ann Fennema such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568776979 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 1886-125 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 1999-123 (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. Ms Nancy Ann Fennema 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 |
|---|
Ms Nancy Ann Fennema, MSSW
1825 Riverside Dr,
Green Bay, WI 54301-2316
Ph: (920) 272-8234 | Ms Nancy Ann Fennema, MSSW
1825 Riverside Dr,
Green Bay, WI 54301-2316
Ph: (920) 272-8234 |
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