Travis Krahn, MS, SAC-IT | |
2422 N Grandview Blvd, Waukesha, WI 53188-6105 | |
(262) 549-6600 | |
Not Available |
Full Name | Travis Krahn |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 2422 N Grandview Blvd, Waukesha, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770976771 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 17224 (Wisconsin) | Secondary |
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Entity Name | Gundersen Lutheran Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225873458 PECOS PAC ID: 2163331414 Enrollment ID: O20130619000254 |
Mailing Address | Practice Location Address |
---|---|
Travis Krahn, MS, SAC-IT 2422 N Grandview Blvd, Waukesha, WI 53188-6105 Ph: (262) 549-6600 | Travis Krahn, MS, SAC-IT 2422 N Grandview Blvd, Waukesha, WI 53188-6105 Ph: (262) 549-6600 |
Stephanie Pattengale, LPC Counselor Medicare: Medicare Enrolled Practice Location: 721 American Ave, Ste 501, Waukesha, WI 53188 Phone: 262-928-4036 | |
Lisa Beth Moore, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 W Broadway Fl 2, Waukesha, WI 53186 Phone: 262-547-5567 | |
Brittany Witty, LPC Counselor Medicare: Medicare Enrolled Practice Location: 741 N Grand Ave Ste 302, Waukesha, WI 53186 Phone: 262-789-1191 | |
Rachel A Feller, LCSW, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 514 Riverview Ave, Waukesha, WI 53188 Phone: 262-893-5317 | |
Jenna Marie Jackson, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1501 Airport Rd, Waukesha, WI 53188 Phone: 262-548-7666 | |
Daniel E Hermsen, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: W231 N1440 Corporate Court, Suite 310, Waukesha, WI 53186 Phone: 282-896-6186 Fax: 262-896-6139 | |
Jayne Weyer-smith, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 707 W Moreland Blvd, Suite 5, Waukesha, WI 53188 Phone: 262-542-0123 Fax: 262-542-1199 |