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421 Nebraska St Sturgeon Bay WI 54235-2225 | |
| (920) 746-2345 | |
| (920) 746-2439 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 421 Nebraska St, Sturgeon Bay, Wisconsin |
| Authorized Official Name and Position | Joseph A. Krebsbach (AGENCY DIRECTOR) |
| Authorized Official Contact | 9207462343 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
421 Nebraska St Sturgeon Bay WI 54235-2225 Ph: (920) 746-7155 | 421 Nebraska St Sturgeon Bay WI 54235-2225 Ph: (920) 746-2345 |
| NPI Number | 1245265693 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 02/26/2024 |
| Certification Date | 02/26/2024 |
| Medicare PECOS PAC ID | 2062434194 |
|---|---|
| Medicare Enrollment ID | O20060103000615 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245265693 | NPI | - | NPPES |
| 42140200 | Medicaid | WI | |
| 43112400 | Medicaid | WI | |
| 43090300 | Medicaid | WI | |
| 41210100 | Medicaid | WI | |
| 43424300 | Medicaid | WI |
| Provider Name | Michael P Sayers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043200397 PECOS PAC ID: 6103867866 Enrollment ID: I20050512000932 |
| Provider Name | Anne M Miller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639166457 PECOS PAC ID: 8729028485 Enrollment ID: I20060103000655 |
| Provider Name | Lydia J Haker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245759190 PECOS PAC ID: 4688027600 Enrollment ID: I20240125004639 |
| Provider Name | Cassaundra N Bratz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265077481 PECOS PAC ID: 0749623106 Enrollment ID: I20240213002248 |
| Provider Name | Lisa M Barnaby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376138313 PECOS PAC ID: 0941646574 Enrollment ID: I20240306001152 |
| Provider Name | Melissa M Hetchler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942907951 PECOS PAC ID: 8527408327 Enrollment ID: I20240426001647 |
| Provider Name | Rene Beth Domask |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740888544 PECOS PAC ID: 9436694908 Enrollment ID: I20240709004454 |
| Provider Name | Lydia J Haker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245759190 PECOS PAC ID: 4688027600 Enrollment ID: I20240718003947 |
Counseling Associates Of Door County, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 N 12th Ave, Sturgeon Bay, WI 54235 Phone: 920-743-9554 Fax: 920-743-1591 | |
Door County Dept Of Community Programs Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 Nebraska St, Sturgeon Bay, WI 54235 Phone: 920-746-2345 Fax: 920-746-2439 | |
Bay Counseling Clinic, Llp Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 50 S Madison Ave, Suite 3, Sturgeon Bay, WI 54235 Phone: 920-743-4428 Fax: 920-743-4681 |