Lake Geneva Wellness Clinic Llc - Medicare Mental Health Clinic in Lake Geneva, WI

Lake Geneva Wellness Clinic Llc is a medicare enrolled mental health clinic (Psychologist - Clinical) in Lake Geneva, Wisconsin. The current practice location for Lake Geneva Wellness Clinic Llc is 750 Veterans Pkwy Unit 100, Lake Geneva, Wisconsin. For appointments, you can reach them via phone at (262) 248-7942. The mailing address for Lake Geneva Wellness Clinic Llc is 750 Veterans Pkwy Unit 100, Lake Geneva, Wisconsin and phone number is (262) 248-7942.

Lake Geneva Wellness Clinic Llc is licensed to practice in Wisconsin (license number 811-057). The clinic also participates in the medicare program and its NPI number is 1003845181. 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 (262) 248-7942.

Contact Information

Lake Geneva Wellness Clinic Llc
750 Veterans Pkwy Unit 100
Lake Geneva
WI 53147-4950
(262) 248-7942
(262) 248-1202

Map and Direction


Mental Health Clinic Profile

Full NameLake Geneva Wellness Clinic Llc
SpecialityPsychologist
Location750 Veterans Pkwy Unit 100, Lake Geneva, Wisconsin
Authorized Official Name and PositionErika K Fountain (OWNER)
Authorized Official Contact2622487942
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lake Geneva Wellness Clinic Llc
750 Veterans Pkwy Unit 100
Lake Geneva
WI 53147-4950

Ph: (262) 248-7942
Lake Geneva Wellness Clinic Llc
750 Veterans Pkwy Unit 100
Lake Geneva
WI 53147-4950

Ph: (262) 248-7942

NPI Details:

NPI Number1003845181
Provider Enumeration Date07/01/2006
Last Update Date09/12/2024
Certification Date09/12/2024

Medicare PECOS Information:

Medicare PECOS PAC ID7517139447
Medicare Enrollment IDO20111018000668

Medical Identifiers

Medical identifiers for Lake Geneva Wellness Clinic Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003845181NPI-NPPES
42126800MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 811-057 (Wisconsin)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Lake Geneva Wellness Clinic Llc acts as a billing entity for following providers:
Provider NameDuanne J Lafrenz
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1124057294
PECOS PAC ID: 8527156256
Enrollment ID: I20071114000252
Provider NameLaurie D Linden
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1659618346
PECOS PAC ID: 8325288590
Enrollment ID: I20130711000403
Provider NameAshlie Moelter
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1619473998
PECOS PAC ID: 8123470275
Enrollment ID: I20240115000519
Provider NameErika Karna Fountain-kiser
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1306023932
PECOS PAC ID: 9537332796
Enrollment ID: I20240116001166
Provider NameSandra Betka
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1740531722
PECOS PAC ID: 4284086216
Enrollment ID: I20240116001290

Reviews and Comments

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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.