| Empower Recovery Llc | |
|
313 Price Pl Ste 208 Madison WI 53705-3262 | |
| (608) 571-3866 | |
| Not Available |
| Full Name | Empower Recovery Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 313 Price Pl Ste 208, Madison, Wisconsin |
| Authorized Official Name and Position | Aaron Hoffnung (OWNER) |
| Authorized Official Contact | 6085713866 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empower Recovery Llc 313 Price Pl Ste 208 Madison WI 53705-3262 Ph: (608) 571-3866 | Empower Recovery Llc 313 Price Pl Ste 208 Madison WI 53705-3262 Ph: (608) 571-3866 |
| NPI Number | 1467131441 |
|---|---|
| Provider Enumeration Date | 07/17/2023 |
| Last Update Date | 10/11/2023 |
| Medicare PECOS PAC ID | 6305292574 |
|---|---|
| Medicare Enrollment ID | O20231024002246 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467131441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 291U00000X | Clinical Medical Laboratory | (* (Not Available)) | Secondary |
| Provider Name | Aaron B Hoffnung |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265425748 PECOS PAC ID: 8123918794 Enrollment ID: I20061110000088 |
| Provider Name | Sarah A Villanueva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366813917 PECOS PAC ID: 9234433558 Enrollment ID: I20170627001051 |
| Provider Name | Jaime Lynn Kremer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912413782 PECOS PAC ID: 9931447208 Enrollment ID: I20190212000881 |
| Provider Name | Kimberly Jo Riley |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1760723712 PECOS PAC ID: 0042657280 Enrollment ID: I20240322002416 |
| Provider Name | Jamarri M Rollocks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033688403 PECOS PAC ID: 1759826803 Enrollment ID: I20240712001503 |
| Provider Name | Courtney Lalond |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710569165 PECOS PAC ID: 1658817689 Enrollment ID: I20240725002739 |
| Provider Name | Angela Pennell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992360531 PECOS PAC ID: 4789121419 Enrollment ID: I20240731000649 |
| Provider Name | Ambrosia Spaulding |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962777284 PECOS PAC ID: 3577869460 Enrollment ID: I20240809002125 |
| Provider Name | Daniel Charles Sidesky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881373611 PECOS PAC ID: 8325579915 Enrollment ID: I20241007003279 |
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