| Kewaunee Co Dept Human Services | |
|
810 Lincoln Street Kewaunee WI 54216-1140 | |
| (920) 388-7030 | |
| (920) 388-7044 |
| Full Name | Kewaunee Co Dept Human Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 810 Lincoln Street, Kewaunee, Wisconsin |
| Authorized Official Name and Position | Melissa M Annoye (DIRECTOR) |
| Authorized Official Contact | 9203887030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kewaunee Co Dept Human Services 810 Lincoln Street Kewaunee WI 54216-1140 Ph: (920) 388-7030 | Kewaunee Co Dept Human Services 810 Lincoln Street Kewaunee WI 54216-1140 Ph: (920) 388-7030 |
| NPI Number | 1366431173 |
|---|---|
| Provider Enumeration Date | 10/14/2005 |
| Last Update Date | 05/18/2023 |
| Certification Date | 05/18/2023 |
| Medicare PECOS PAC ID | 1052337060 |
|---|---|
| Medicare Enrollment ID | O20051019000720 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366431173 | NPI | - | NPPES |
| 43423600 | Medicaid | WI | |
| 32979271 | Other | WI | MA CRISIS INTERVENTION |
| 41225200 | Other | WI | MA PT OT |
| 42140100 | Medicaid | WI | |
| 42551900 | Other | WI | MA ST |
| 43073100 | Medicaid | WI |
| Provider Name | Stephen L Shopbell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326032335 PECOS PAC ID: 9739224387 Enrollment ID: I20100306000200 |
| Provider Name | Michael J Eis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689653214 PECOS PAC ID: 2769561257 Enrollment ID: I20100306000374 |
| Provider Name | Kenneth R Downing |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508877614 PECOS PAC ID: 3274628342 Enrollment ID: I20170706002704 |
| Provider Name | Jacob T Kumpfer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1619497344 PECOS PAC ID: 8628419934 Enrollment ID: I20240516002395 |
Bellin Behavior Health - Kewaunee Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 575 4th St, Kewaunee, WI 54216 Phone: 920-433-3630 |