Ms Pamela Jean Koonz, LCSW CSAC is a
Social Worker based in Racine, Wisconsin. Ms Pamela Jean Koonz is licensed to practice in Wisconsin (license number 3908123) and her current practice location is
4810 Northwestern Ave, Racine, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(262) 637-9984.
NPI number for Ms Pamela Jean Koonz is 1518006667 and her current mailing address is 5329 Deerfield Rd, Racine, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1518006667.
Healthcare Provider's Profile
| Full Name | Ms Pamela Jean Koonz |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 4810 Northwestern Ave, Racine, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1518006667
- Provider Enumeration Date: 02/05/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Pamela Jean Koonz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518006667 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1298132 (Wisconsin) | Primary |
| 104100000X | Social Worker | 3908123 (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 Pamela Jean Koonz 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 Pamela Jean Koonz, LCSW CSAC
5329 Deerfield Rd,
Racine, WI 53406
Ph: () - | Ms Pamela Jean Koonz, LCSW CSAC
4810 Northwestern Ave,
Racine, WI 53406
Ph: (262) 637-9984 |
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