- Medicare Mental Health Clinic in Crandon, WI

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is a medicare enrolled mental health clinic (Clinic/center - Rural Health) in Crandon, Wisconsin. The current practice location for is 400 W Glen St, Crandon, Wisconsin. For appointments, you can reach them via phone at (715) 478-3318. The mailing address for is 29980 Network Pl, Chicago, Illinois and phone number is (715) 847-2304.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1699068692. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (715) 478-3318.

Contact Information

400 W Glen St
Crandon
WI 54520-1355
(715) 478-3318
Not Available

Map and Direction


Mental Health Clinic Profile

Full Name
SpecialityClinic/Center
Location400 W Glen St, Crandon, Wisconsin
Authorized Official Name and PositionJerry M Yang (SVP & CHIEF FINANCIAL OFFICER)
Authorized Official Contact7158472526
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

29980 Network Pl
Chicago
IL 60673-1299

Ph: (715) 847-2304
400 W Glen St
Crandon
WI 54520-1355

Ph: (715) 478-3318

NPI Details:

NPI Number1699068692
Provider Enumeration Date05/24/2011
Last Update Date06/10/2024
Certification Date06/10/2024

Medicare PECOS Information:

Medicare PECOS PAC ID9335059856
Medicare Enrollment IDO20110726000283

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699068692NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Secondary
261QR0400XClinic/center - Rehabilitation (* (Not Available))Secondary
261QR1300XClinic/center - Rural Health (* (Not Available))Primary

Reviews and Comments

Clinic/Center in Crandon, WI

Forest County Potawatomi Health & Wellness Center
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 8201 Mish Ko Swen Dr, Crandon, WI 54520
Phone: 715-478-4300    Fax: 715-478-4490

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.