Heidi J Pendleton, MSW LCSW | |
325 Butts Avenue, Tomah, WI 54660-1412 | |
(608) 372-5999 | |
Not Available |
Full Name | Heidi J Pendleton |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 325 Butts Avenue, Tomah, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376584847 | NPI | - | NPPES |
40939200 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 7188 (Wisconsin) | Primary |
Entity Name | Aspirus Medford Hospital & Clinics Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285703173 PECOS PAC ID: 5799688602 Enrollment ID: O20040129000007 |
Mailing Address | Practice Location Address |
---|---|
Heidi J Pendleton, MSW LCSW Po Box 301, Portage, WI 53901-0301 Ph: (608) 742-5518 | Heidi J Pendleton, MSW LCSW 325 Butts Avenue, Tomah, WI 54660-1412 Ph: (608) 372-5999 |
Ms. Carolyn Rae Blackdeer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 E Veterans St, Tomah, WI 54660 Phone: 608-372-3971 | |
Nicholas Taylor, LICENSED SOCIAL WORK Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 E Veterans St, Tomah, WI 54660 Phone: 608-372-3971 | |
Allissa Marie Burns-gilbert, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 E Veterans St, Tomah, WI 54660 Phone: 608-377-4076 | |
Ms. Sue Ann Kuruzovich, MSSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 East Veterans Street, Vamc Tomah, Tomah, WI 54660 Phone: 608-372-1798 | |
Sierra Esther Phillips, LCSW, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 E Veterans St, Social Work Department, Tomah, WI 54660 Phone: 608-372-3971 | |
Mrs. Gina Rae Chmelka, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 E Veterans St, Tomah, WI 54660 Phone: 608-372-3971 | |
Hannah Von Behren, MSW, LCSW, CSAC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 500 E Veterans St, Tomah, WI 54660 Phone: 608-372-3971 |