Penny Lynn Bearheart, PC-IT, SAC-IT | |
4404 State Road 70, Webster, WI 54893-9251 | |
(715) 418-5755 | |
(877) 779-2951 |
Full Name | Penny Lynn Bearheart |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 4404 State Road 70, Webster, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881171601 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 18616-130 (Wisconsin) | Secondary |
101YM0800X | Counselor - Mental Health | 4454-226 (Wisconsin) | Primary |
Entity Name | The Lakes Community Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811178825 PECOS PAC ID: 0840366654 Enrollment ID: O20101019000186 |
Mailing Address | Practice Location Address |
---|---|
Penny Lynn Bearheart, PC-IT, SAC-IT Po Box 521, Cumberland, WI 54829-0521 Ph: (715) 418-5755 | Penny Lynn Bearheart, PC-IT, SAC-IT 4404 State Road 70, Webster, WI 54893-9251 Ph: (715) 418-5755 |
Cortney Tripp, MSED Counselor Medicare: Medicare Enrolled Practice Location: 7818 Moline Rd, Webster, WI 54893 Phone: 715-866-8301 | |
Mrs. Megan Grace Taylor, M.S., P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 4404 State Road 70, Webster, WI 54893 Phone: 715-349-2195 Fax: 715-349-8528 | |
Jennifer L Mcnamara, MA, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4404 State Road 70, Webster, WI 54893 Phone: 715-349-8554 | |
Antonette Koons, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4044 State Road 70, Webster, WI 54893 Phone: 715-349-8554 | |
Shelley Lynn Hammes, CADC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 4404 State Road 70, Webster, WI 54893 Phone: 877-455-1901 Fax: 715-349-8528 | |
Alysia Mary Kathren Smith, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4404 Wis-70, Webster, WI 54893 Phone: 715-349-8554 | |
Kathryn Alice Schneider, CADC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 4404 State Road 70, Webster, WI 54893 Phone: 715-635-6519 |