Sheli Faust, PC, SAC-IT | |
3378 N. Schilleman Rd, Lac Du Flambeau, WI 54538-5453 | |
(715) 588-4422 | |
(715) 588-1889 |
Full Name | Sheli Faust |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 3378 N. Schilleman Rd, Lac Du Flambeau, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1548619828 | NPI | - | NPPES |
1548619828 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 17846-130 (Wisconsin) | Secondary |
101YP2500X | Counselor - Professional | 3127-226 (Wisconsin) | Primary |
Entity Name | N.e.w. Community Clinic, Ltd. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487878328 PECOS PAC ID: 5890912539 Enrollment ID: O20151013000558 |
Mailing Address | Practice Location Address |
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Sheli Faust, PC, SAC-IT Po Box 815, Lac Du Flambeau, WI 54538-0815 Ph: (715) 588-4422 | Sheli Faust, PC, SAC-IT 3378 N. Schilleman Rd, Lac Du Flambeau, WI 54538-5453 Ph: (715) 588-4422 |
Ms. Regina Rae Fox, LPC, CSAC Counselor Medicare: Medicare Enrolled Practice Location: 533 Peace Pipe Road, Lac Du Flambeau, WI 54538 Phone: 715-588-1511 Fax: 715-588-3903 | |
Anna Lynn Johnson, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 533 Peace Pipe Road, Lac Du Flambeau, WI 54538 Phone: 715-588-1511 Fax: 715-588-3903 | |
Ms. Debra L Neddo, CADCIII Counselor Medicare: Not Enrolled in Medicare Practice Location: 533 Peace Pipe Road, Lac Du Flambeau, WI 54538 Phone: 715-588-1511 Fax: 715-588-3903 | |
Mrs. Tieheena M Lemerond, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 533 Peace Pipe Rd, Lac Du Flambeau, WI 54538 Phone: 715-588-1511 Fax: 715-588-3903 | |
Isabella Fallos, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 533 Peace Pipe Rd, Lac Du Flambeau, WI 54538 Phone: 715-588-1511 | |
Wendy Lindstrom, CADCIII Counselor Medicare: Not Enrolled in Medicare Practice Location: 533 Peace Pipe Rd, Lac Du Flambeau, WI 54538 Phone: 715-588-1511 Fax: 715-588-3903 | |
Mrs. Karrie Joann Branfort, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3378 Schilleman Road, Lac Du Flambeau, WI 54538 Phone: 715-588-3303 |