| County Of La Crosse | |
|
300 4th St N La Crosse WI 54601-3228 | |
| (608) 785-6101 | |
| Not Available |
| Full Name | County Of La Crosse |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 300 4th St N, La Crosse, Wisconsin |
| Authorized Official Name and Position | Gerald Huber (DIRECTOR, HUMAN SERVICES) |
| Authorized Official Contact | 6087856094 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| County Of La Crosse 300 4th St N La Crosse WI 54601-3228 Ph: (608) 785-6101 | County Of La Crosse 300 4th St N La Crosse WI 54601-3228 Ph: (608) 785-6101 |
| NPI Number | 1366508897 |
|---|---|
| Provider Enumeration Date | 12/29/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3274513122 |
|---|---|
| Medicare Enrollment ID | O20070413000242 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366508897 | NPI | - | NPPES |
| 43073200 | Medicaid | WI | |
| 42138700 | Medicaid | WI | |
| 32977400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1488 (Wisconsin) | Primary |
| Provider Name | Debra A Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194827253 PECOS PAC ID: 6800814393 Enrollment ID: I20051103000180 |
| Provider Name | Joel P Rooney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750447181 PECOS PAC ID: 2264537695 Enrollment ID: I20070413000302 |
| Provider Name | Katie R Fassbinder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710936588 PECOS PAC ID: 8325184039 Enrollment ID: I20091012000083 |
| Provider Name | Kristine A Brink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407076599 PECOS PAC ID: 7214037399 Enrollment ID: I20100303000972 |
| Provider Name | Amy E Harter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366685356 PECOS PAC ID: 4880872282 Enrollment ID: I20110708000053 |
| Provider Name | Becky J Bole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043621576 PECOS PAC ID: 5294951687 Enrollment ID: I20150420001472 |
| Provider Name | Lisa M Myhre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740992023 PECOS PAC ID: 2769855097 Enrollment ID: I20230307000921 |
| Provider Name | Ben M Pfiffner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780190421 PECOS PAC ID: 3274977095 Enrollment ID: I20240221000261 |
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Right Step Recovery Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 5th Ave S Ste 500b, La Crosse, WI 54601 Phone: 507-273-4848 | |
Family & Children's Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1707 Main St, La Crosse, WI 54601 Phone: 608-785-0001 Fax: 608-785-0002 | |
Mary B Riedel Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 5th Ave S, Suite 301, La Crosse, WI 54601 Phone: 608-799-1208 | |
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