| Adams County Health & Human Services Department | |
|
108 E North St Friendship WI 53934-9443 | |
| (608) 339-4505 | |
| (608) 339-4593 |
| Full Name | Adams County Health & Human Services Department |
|---|---|
| Speciality | Counselor |
| Location | 108 E North St, Friendship, Wisconsin |
| Authorized Official Name and Position | Wendy Pierce (FISCAL MANAGER) |
| Authorized Official Contact | 6083394505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adams County Health & Human Services Department 108 E North St Friendship WI 53934-9443 Ph: (608) 339-4505 | Adams County Health & Human Services Department 108 E North St Friendship WI 53934-9443 Ph: (608) 339-4505 |
| NPI Number | 1104930866 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 12/06/2023 |
| Certification Date | 12/06/2023 |
| Medicare PECOS PAC ID | 2567493810 |
|---|---|
| Medicare Enrollment ID | O20050929000321 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104930866 | NPI | - | NPPES |
| 43109000 | Medicaid | WI | |
| 42117800 | Medicaid | WI | |
| 43079900 | Medicaid | WI | |
| 43070000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1253 (Wisconsin) | Primary |
| Provider Name | Donald C Fischer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629069737 PECOS PAC ID: 6800851775 Enrollment ID: I20041120000096 |
| Provider Name | Michael T Witkovsky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629044797 PECOS PAC ID: 0749236990 Enrollment ID: I20050330000810 |
| Provider Name | Lonna Lee Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184658098 PECOS PAC ID: 8628081007 Enrollment ID: I20060802000087 |
| Provider Name | Jessica A Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194095588 PECOS PAC ID: 5698181402 Enrollment ID: I20210302002809 |
Adams County Health And Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 E North St, Friendship, WI 53934 Phone: 608-339-4505 |