Tracy M Martin, LPC | |
13380 W Trepania Rd, Hayward, WI 54843-2186 | |
(715) 638-5102 | |
(715) 634-6107 |
Full Name | Tracy M Martin |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 13380 W Trepania Rd, Hayward, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700222395 | NPI | - | NPPES |
1700222395 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 5227 (Wisconsin) | Secondary |
101YP2500X | Counselor - Professional | 5227-125 (Wisconsin) | Primary |
Entity Name | Ho Chunk Nation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407911795 PECOS PAC ID: 5496709867 Enrollment ID: O20050309000066 |
Mailing Address | Practice Location Address |
---|---|
Tracy M Martin, LPC 13380 W Trepania Rd, Hayward, WI 54843-2186 Ph: (715) 638-5102 | Tracy M Martin, LPC 13380 W Trepania Rd, Hayward, WI 54843-2186 Ph: (715) 638-5102 |
Beth E Achtor-loder, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10592 Main Street, Hayward, WI 54843 Phone: 715-699-6062 | |
Jenny A Ingram, MS,CSAC,IDP-AT,PSIT Counselor Medicare: Not Enrolled in Medicare Practice Location: 13380 W Trepania Rd, Hayward, WI 54843 Phone: 715-638-5116 Fax: 715-638-6107 | |
Alexandra Bice, LPC Counselor Medicare: Medicare Enrolled Practice Location: 10594 Main St, Hayward, WI 54843 Phone: 715-934-1381 | |
Dr. Lori Leanne Soli, PHD LPCC ACS BCTMH Counselor Medicare: Not Enrolled in Medicare Practice Location: 10436 Bay Ave, Hayward, WI 54843 Phone: 858-952-9571 | |
Elizabeth Anne Johnson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 10594 Main Street #1021, Hayward, WI 54843 Phone: 715-416-1381 Fax: 715-934-2091 | |
Kevin Lynch, LPC Counselor Medicare: Medicare Enrolled Practice Location: 15910 W Company Lake Rd, Hayward, WI 54843 Phone: 715-558-1274 | |
Melinda L Johnson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 15954 Rivers Edge Dr, Hayward, WI 54843 Phone: 715-634-2541 Fax: 715-598-4881 |