| Jasmine Rose Mazzei, LCSW | |
|
1500 Arbor Way, Kaukauna, WI 54130-7305 | |
| (920) 278-1294 | |
| Not Available |
| Full Name | Jasmine Rose Mazzei |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 7 Years |
| Location | 1500 Arbor Way, Kaukauna, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831740141 | NPI | - | NPPES |
| 100094630 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 10040 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Medical Group, Inc. | 6709794258 | 3716 |
| Entity Name | Aurora Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Mailing Address | Practice Location Address |
|---|---|
| Jasmine Rose Mazzei, LCSW Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Jasmine Rose Mazzei, LCSW 1500 Arbor Way, Kaukauna, WI 54130-7305 Ph: (920) 278-1294 |
Ashley Zellner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 331 W Henry St, Kaukauna, WI 54130 Phone: 920-215-1849 Fax: 920-570-6992 | |
Heather A Beaudoin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 120 E 4th St, Kaukauna, WI 54130 Phone: 920-520-2525 | |
Leah Diedrick-williams, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2601 Fieldcrest Dr, Kaukauna, WI 54130 Phone: 920-462-6100 |