| Access, Inc. | |
|
406 Technology Dr E Suite C Menomonie WI 54751-2767 | |
| (715) 235-4696 | |
| (715) 235-3941 |
| Full Name | Access, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 406 Technology Dr E, Menomonie, Wisconsin |
| Authorized Official Name and Position | Kelly R Johnson (CONTRACT COORDINATOR) |
| Authorized Official Contact | 7155329771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Access, Inc. 406 Technology Dr E Suite C Menomonie WI 54751-2767 Ph: (715) 235-4696 | Access, Inc. 406 Technology Dr E Suite C Menomonie WI 54751-2767 Ph: (715) 235-4696 |
| NPI Number | 1437240868 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 04/21/2016 |
| Medicare PECOS PAC ID | 2264338391 |
|---|---|
| Medicare Enrollment ID | O20031210000266 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437240868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1007 (Wisconsin) | Secondary |
| 101YM0800X | Counselor - Mental Health | 1007 (Wisconsin) | Primary |
| Provider Name | Andrew J Wolf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871668723 PECOS PAC ID: 4587560529 Enrollment ID: I20040617000772 |
| Provider Name | Koti R Mannem |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720188717 PECOS PAC ID: 7911964200 Enrollment ID: I20041218000041 |
| Provider Name | Madan Uprety |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528109758 PECOS PAC ID: 6406888163 Enrollment ID: I20050902000339 |
| Provider Name | Robin R Abraham |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063637627 PECOS PAC ID: 7719078724 Enrollment ID: I20080703000113 |
| Provider Name | Jacqueline A Perro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073718144 PECOS PAC ID: 3577626092 Enrollment ID: I20090109000446 |
| Provider Name | Anne M Focht |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780904284 PECOS PAC ID: 7810184595 Enrollment ID: I20101207000663 |
| Provider Name | Kathleen L Ludwikowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073506119 PECOS PAC ID: 3476502451 Enrollment ID: I20120208000507 |
| Provider Name | Lee Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831308964 PECOS PAC ID: 2163505272 Enrollment ID: I20150217000387 |
| Provider Name | Claudia Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407867187 PECOS PAC ID: 1658663232 Enrollment ID: I20180116001238 |
| Provider Name | Theodore J East |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447742838 PECOS PAC ID: 3779736855 Enrollment ID: I20181211002129 |
| Provider Name | Susan F Depasquale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063827202 PECOS PAC ID: 4183844871 Enrollment ID: I20200122000758 |
| Provider Name | Andrew Spitznas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447289251 PECOS PAC ID: 4183804479 Enrollment ID: I20200130000054 |
| Provider Name | Anne Lupo-gondwe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114538162 PECOS PAC ID: 2769845759 Enrollment ID: I20230823003252 |
| Provider Name | Elizabeth Drews |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245877810 PECOS PAC ID: 2567904642 Enrollment ID: I20240604003023 |
| Provider Name | Lisa Metza-peterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326513862 PECOS PAC ID: 4486196938 Enrollment ID: I20240612002665 |
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