| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 181 N 2nd Street, Wausau, Wisconsin |
| Authorized Official Name and Position | Jennifer Smith (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7158484884 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1810 2nd St Wausau WI 54403-3492 Ph: (715) 848-4884 | 181 N 2nd Street Wausau WI 54403 Ph: (715) 848-4884 |
| NPI Number | 1457370744 |
|---|---|
| Provider Enumeration Date | 07/18/2006 |
| Last Update Date | 06/30/2017 |
| Medicare PECOS PAC ID | 3870577935 |
|---|---|
| Medicare Enrollment ID | O20040616000370 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457370744 | NPI | - | NPPES |
| 39256400 | Medicaid | WI |
| Provider Name | Natalie G Gauthier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063563211 PECOS PAC ID: 1658267596 Enrollment ID: I20040408001366 |
| Provider Name | Barbara V Seiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609823509 PECOS PAC ID: 6002975042 Enrollment ID: I20081106000196 |
| Provider Name | Ryan A Gossett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710924329 PECOS PAC ID: 0042364879 Enrollment ID: I20090813000385 |
| Provider Name | Alicia Maria Fernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407043458 PECOS PAC ID: 2163518242 Enrollment ID: I20140909002560 |
| Provider Name | Tracie L Timm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306248158 PECOS PAC ID: 6608191655 Enrollment ID: I20150213001434 |
| Provider Name | Melissa J Linden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497108518 PECOS PAC ID: 2769778778 Enrollment ID: I20160830003229 |
| Provider Name | Clare Lewandowski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407207764 PECOS PAC ID: 2961798988 Enrollment ID: I20160831000196 |
| Provider Name | Tonia Y Backman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033468947 PECOS PAC ID: 4688935240 Enrollment ID: I20180223000839 |
| Provider Name | Shawn A Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316401706 PECOS PAC ID: 2062748130 Enrollment ID: I20190726001452 |
| Provider Name | Carla Rae Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144740978 PECOS PAC ID: 1052744463 Enrollment ID: I20191125002132 |
| Provider Name | Barbara Jo Bunnell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093078784 PECOS PAC ID: 3870921869 Enrollment ID: I20200325003498 |
| Provider Name | Heather Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326528654 PECOS PAC ID: 0143629733 Enrollment ID: I20210602001279 |
| Provider Name | Dakota J Kaiser |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033566088 PECOS PAC ID: 4587065222 Enrollment ID: I20210701001272 |
| Provider Name | Rachel F Voit |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740955590 PECOS PAC ID: 6103214358 Enrollment ID: I20211021000666 |
| Provider Name | Claire Strosahl Udell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295360436 PECOS PAC ID: 0042605032 Enrollment ID: I20220309000995 |
| Provider Name | Cally Gorski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730966672 PECOS PAC ID: 0941645766 Enrollment ID: I20240301002795 |
| Provider Name | Amy Kluetz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336701895 PECOS PAC ID: 3274973177 Enrollment ID: I20240425001402 |
| Provider Name | Lisa Rachel Piontek |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1710191085 PECOS PAC ID: 1052853298 Enrollment ID: I20240604001171 |
| Provider Name | Esther Witter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760894034 PECOS PAC ID: 0941746895 Enrollment ID: I20240726002975 |
| Provider Name | Caitlin Baldauff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396291589 PECOS PAC ID: 6305384967 Enrollment ID: I20240814000112 |
| Provider Name | Molly Sara Mclaughlin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1780829416 PECOS PAC ID: 0547708828 Enrollment ID: I20240817000539 |
| Provider Name | Jennifer Lee Ostrowski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841362910 PECOS PAC ID: 6608315890 Enrollment ID: I20240903000217 |
| Provider Name | Debra Roberts |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255817151 PECOS PAC ID: 9638618739 Enrollment ID: I20240903001355 |
| Provider Name | Deborah Ann Piskoty |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1346389269 PECOS PAC ID: 5193264240 Enrollment ID: I20240903003116 |
| Provider Name | Rebecca Louise Pein |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245740992 PECOS PAC ID: 6507306602 Enrollment ID: I20240904000961 |
| Provider Name | Melissa Mae Coates |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649728387 PECOS PAC ID: 5092256438 Enrollment ID: I20240925001483 |
| Provider Name | Terence J Whitaker |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1982835302 PECOS PAC ID: 2860923372 Enrollment ID: I20241008000567 |
| Provider Name | Tracey Anne Schindler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609116920 PECOS PAC ID: 6103357546 Enrollment ID: I20241009001480 |
| Provider Name | Lukasz Konopka |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215469911 PECOS PAC ID: 6507130887 Enrollment ID: I20241105001871 |
John W. Stilp, Dds, Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3000 Westhill Drive, Suite 301, Wausau, WI 54401 Phone: 715-845-4511 Fax: 715-845-1898 | |
John A Krasowski Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 N 17th Ave, Ste 2, Wausau, WI 54401 Phone: 715-845-9372 Fax: 715-845-7849 | |
James S Kim Dds Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 S 24th Ave, Ste 200, Wausau, WI 54401 Phone: 715-849-5667 Fax: 715-849-5667 | |
David J. Wanserski, Dds, Ms, Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 N 17th Ave, Wausau, WI 54401 Phone: 715-848-2435 Fax: 715-843-7769 |