| Kelly Jean Witt-erickson, ICSW CPC | |
|
548 North Lake Avenue, Phillips, WI 54555 | |
| (715) 339-6453 | |
| Not Available |
| Full Name | Kelly Jean Witt-erickson |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 38 Years |
| Location | 548 North Lake Avenue, Phillips, 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 |
|---|---|---|---|
| 1801106265 | NPI | - | NPPES |
| 39706000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3898-123 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aspirus Medford Hospital And Clinics Inc | 5799688602 | 61 |
| Entity Name | Aspirus Medford Hospital & Clinics Inc |
|---|---|
| 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 |
|---|---|
| Kelly Jean Witt-erickson, ICSW CPC W5213 Worcester Lake Road, Prentice, WI 54556 Ph: (715) 360-0809 | Kelly Jean Witt-erickson, ICSW CPC 548 North Lake Avenue, Phillips, WI 54555 Ph: (715) 339-6453 |
Pamela Marie Olson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 548 N Lake Ave, Phillips, WI 54555 Phone: 715-339-6453 Fax: 715-339-6450 | |
Michelle J Schmidt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 548 N Lake Ave, Phillips, WI 54555 Phone: 715-339-6453 Fax: 715-339-6450 | |
Anna Jo Childs, LCSW, CSAC Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 148 S Avon Ave, Phillips, WI 54555 Phone: 715-663-0717 |