Dr Angela Marie Fontanini-axelrod, PHD is a
Psychologist - School based in Altoona, Wisconsin. Dr Angela Marie Fontanini-axelrod is licensed to practice in Wisconsin (license number 898-58) and her current practice location is
1451 Bluestem Blvd Ste E, Altoona, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(715) 514-0982.
NPI number for Dr Angela Marie Fontanini-axelrod is 1265130850 and her current mailing address is 3391 Evergreen Ln, Eau Claire, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265130850.
Healthcare Provider's Profile
Full Name | Dr Angela Marie Fontanini-axelrod |
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Gender | Female |
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Speciality | Psychologist - School |
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Location | 1451 Bluestem Blvd Ste E, Altoona, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1265130850
- Provider Enumeration Date: 02/22/2023
- Last Update Date: 02/22/2023
Medical Identifiers
Medical identifiers for Dr Angela Marie Fontanini-axelrod such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265130850 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TS0200X | Psychologist - School | 898-58 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Angela Marie Fontanini-axelrod is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Angela Marie Fontanini-axelrod, PHD 3391 Evergreen Ln, Eau Claire, WI 54701-5912 Ph: (207) 217-8704 | Dr Angela Marie Fontanini-axelrod, PHD 1451 Bluestem Blvd Ste E, Altoona, WI 54720-2619 Ph: (715) 514-0982 |
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