Gina K Koeppl, PHD | |
2251 N Shore Dr, Rhinelander, WI 54501-8360 | |
(715) 361-2000 | |
(715) 361-2877 |
Full Name | Gina K Koeppl |
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Gender | Female |
Speciality | Psychologist |
Location | 2251 N Shore Dr, Rhinelander, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386739597 | NPI | - | NPPES |
39040400 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 1240 (Wisconsin) | Secondary |
103T00000X | Psychologist | 1240 (Wisconsin) | Primary |
Entity Name | Aspirus Rhinelander & Tomahawk Hospitals & Clinics Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144991340 PECOS PAC ID: 9335059856 Enrollment ID: O20031126000706 |
Mailing Address | Practice Location Address |
---|---|
Gina K Koeppl, PHD 2251 N Shore Dr, Rhinelander, WI 54501-8360 Ph: (715) 361-2000 | Gina K Koeppl, PHD 2251 N Shore Dr, Rhinelander, WI 54501-8360 Ph: (715) 361-2000 |
Dr. Jamie Hein, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1020 Kabel Ave, Rhinelander, WI 54501 Phone: 715-361-2805 | |
Demara B Bennett, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2251 N Shore Dr, Rhinelander, WI 54501 Phone: 715-361-2000 Fax: 715-361-2877 | |
Dr. Kayleena Kelly, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1020 Kable Ave, Rhinelander, WI 54501 Phone: 715-361-2805 Fax: 715-361-2920 | |
Dr. Shawn Ann Pflugardt, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1020 Kabel Ave, Rhinelander, WI 54501 Phone: 715-361-2805 | |
Susan L Stacy, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2251 N Shore Dr, Rhinelander, WI 54501 Phone: 715-361-2000 Fax: 715-361-2877 | |
Michael L Galli, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1831 N Stevens Street, Rhinelander, WI 54501 Phone: 715-365-7000 Fax: 715-365-7029 |