- Medicare Mental Health Clinic in Whitelaw, WI

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is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Whitelaw, Wisconsin. The current practice location for is 9003 Polifka Rd, Whitelaw, Wisconsin. For appointments, you can reach them via phone at (920) 403-0021. The mailing address for is 2668 Stonegate Dr, Suamico, Wisconsin and phone number is () -.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1306460126. 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) 403-0021.

Contact Information

9003 Polifka Rd
Whitelaw
WI 54247-9782
(920) 403-0021
Not Available

Map and Direction


Mental Health Clinic Profile

Full Name
SpecialityClinic/Center
Location9003 Polifka Rd, Whitelaw, Wisconsin
Authorized Official Name and PositionMuse Patrick Seymour (MANAGING DIRECTOR & CFO)
Authorized Official Contact9202881965
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

2668 Stonegate Dr
Suamico
WI 54313-8123

Ph: () -
9003 Polifka Rd
Whitelaw
WI 54247-9782

Ph: (920) 403-0021

NPI Details:

NPI Number1306460126
Provider Enumeration Date06/08/2020
Last Update Date08/11/2021
Certification Date08/11/2021

Medicare PECOS Information:

Medicare PECOS PAC ID6406391200
Medicare Enrollment IDO20240717000941

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306460126NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical (* (Not Available))Secondary
1041C0700XSocial Worker - Clinical (* (Not Available))Secondary
225X00000XOccupational Therapist (* (Not Available))Secondary
251B00000XCase Management (* (Not Available))Secondary
251C00000XDay Training, Developmentally Disabled Services (* (Not Available))Secondary
251S00000XCommunity/behavioral Health (* (Not Available))Secondary
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (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. acts as a billing entity for following providers:
Provider NameKathleen G Mccarthy
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1346334034
PECOS PAC ID: 0143236497
Enrollment ID: I20060224000051
Provider NameKathryn Heinzen
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1588214639
PECOS PAC ID: 4688111347
Enrollment ID: I20240731001692
Provider NameEmily Koller Kunde
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1124578786
PECOS PAC ID: 0143767715
Enrollment ID: I20240731002515

Reviews and Comments

Clinic/Center in Whitelaw, WI


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.