Green Lake County Dhhs - Medicare Mental Health Clinic in Green Lake, WI

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Green Lake County Dhhs is a medicare enrolled mental health clinic (Counselor - Professional) in Green Lake, Wisconsin. The current practice location for Green Lake County Dhhs is 571 County Road A, Green Lake, Wisconsin. For appointments, you can reach them via phone at (920) 294-4070. The mailing address for Green Lake County Dhhs is 571 County Road A, Green Lake, Wisconsin and phone number is (920) 294-4070.

Green Lake County Dhhs is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1780867408. 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 (920) 294-4070.

Contact Information

Green Lake County Dhhs
571 County Road A
Green Lake
WI 54941
(920) 294-4070
(920) 294-4139

Map and Direction


Mental Health Clinic Profile

Full NameGreen Lake County Dhhs
SpecialityCounselor
Location571 County Road A, Green Lake, Wisconsin
Authorized Official Name and PositionJason N. Jerome (DIRECTOR)
Authorized Official Contact9202944070
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Green Lake County Dhhs
571 County Road A
Green Lake
WI 54941-8630

Ph: (920) 294-4070		Green Lake County Dhhs
571 County Road A
Green Lake
WI 54941

Ph: (920) 294-4070

NPI Details:

NPI Number1780867408
Provider Enumeration Date12/17/2007
Last Update Date07/03/2018

Medicare PECOS Information:

Medicare PECOS PAC ID6507881265
Medicare Enrollment IDO20051011001149

Medical Identifiers

Medical identifiers for Green Lake County Dhhs such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780867408NPI-NPPES
42139800MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Green Lake County Dhhs acts as a billing entity for following providers:
Provider NameLinda A Diraimondo
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1821159138
PECOS PAC ID: 4284528266
Enrollment ID: I20040422000671
Provider NameShirley J Dawson
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1558301580
PECOS PAC ID: 7315049954
Enrollment ID: I20070228000128
Provider NameJessica A Bowman
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1144770959
PECOS PAC ID: 9537495510
Enrollment ID: I20190729003235
Provider NameSara R Rhode
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1821597311
PECOS PAC ID: 8921334814
Enrollment ID: I20190730004511
Provider NameJason Lee Fairweather
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1689278590
PECOS PAC ID: 2466804075
Enrollment ID: I20240119000724
Provider NameLana Kay Hilbert
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1811105851
PECOS PAC ID: 4880046218
Enrollment ID: I20240122000682
Provider NameBreana Jean Seuffer
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1083274534
PECOS PAC ID: 1355794736
Enrollment ID: I20240201002540
Provider NameNichol Jean Wienkes
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1639545023
PECOS PAC ID: 0345683389
Enrollment ID: I20240207001598
Provider NameBrooke Danielle Zank
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1700388782
PECOS PAC ID: 3375986268
Enrollment ID: I20240207003361

Reviews and Comments

Counselor in Green Lake, WI

York Behavioral Health Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 477 Golf Hill Ct, Green Lake, WI 54941
Phone: 954-512-0351    

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.