Dr Jill M Wollenzien-daniels, PHD is a
Psychologist - Clinical based in Mosinee, Wisconsin. Dr Jill M Wollenzien-daniels is licensed to practice in Wisconsin (license number 2273-057) and her current practice location is
2290 Rickie Dr, Mosinee, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(715) 298-2104.
NPI number for Dr Jill M Wollenzien-daniels is 1730227885 and her current mailing address is 2290 Rickie Dr, Mosinee, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730227885.
Healthcare Provider's Profile
| Full Name | Dr Jill M Wollenzien-daniels |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 2290 Rickie Dr, Mosinee, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1730227885
- Provider Enumeration Date: 02/01/2007
- Last Update Date: 02/11/2009
Medical Identifiers
Medical identifiers for Dr Jill M Wollenzien-daniels such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730227885 | NPI | - | NPPES |
| 39274400 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | 2273-057 (Wisconsin) | Secondary |
| 103TA0700X | Psychologist - Adult Development & Aging | 2273-057 (Wisconsin) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | 2273-057 (Wisconsin) | Secondary |
| 103TC0700X | Psychologist - Clinical | 2273-057 (Wisconsin) | Primary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 2273-057 (Wisconsin) | Secondary |
| 103TF0200X | Psychologist - Forensic | 2273-057 (Wisconsin) | Secondary |
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | 2273-057 (Wisconsin) | Secondary |
| 103T00000X | Psychologist | 2273-057 (Wisconsin) | Secondary |
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 Jill M Wollenzien-daniels 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 Jill M Wollenzien-daniels, PHD
2290 Rickie Dr,
Mosinee, WI 54455-8848
Ph: (715) 298-2104 | Dr Jill M Wollenzien-daniels, PHD
2290 Rickie Dr,
Mosinee, WI 54455-8848
Ph: (715) 298-2104 |
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