| Ms Kathleen M O Neill, MSW LCSW | |
|
129 Hospital Dr, Watertown, WI 53098-3334 | |
| (920) 262-4800 | |
| (920) 262-4813 |
| Full Name | Ms Kathleen M O Neill |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 32 Years |
| Location | 129 Hospital Dr, Watertown, 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 |
|---|---|---|---|
| 1881679173 | NPI | - | NPPES |
| 39794300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6684123 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Watertown Physician Practices Llc | 8022329408 | 45 |
| Entity Name | Watertown Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770964363 PECOS PAC ID: 8022329408 Enrollment ID: O20150626000114 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kathleen M O Neill, MSW LCSW 129 Hospital Dr, Watertown, WI 53098-3334 Ph: (920) 262-4800 | Ms Kathleen M O Neill, MSW LCSW 129 Hospital Dr, Watertown, WI 53098-3334 Ph: (920) 262-4800 |
Miss Nadine May Gilbert, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 763 Milford St, Frontier Mental Health Clinic, Watertown, WI 53094 Phone: 920-206-6115 Fax: 920-206-6106 | |
Ms. Amy Lynn Mauel, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1315 W Main St, Watertown, WI 53094 Phone: 920-261-4100 Fax: 920-261-8801 | |
Hope Rohlen Ruedin, MSW, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 818 West St Ste 814, Watertown, WI 53094 Phone: 920-545-4357 | |
Mrs. Sarah J Fredrich, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 312 E Main St Ste 210, Watertown, WI 53094 Phone: 920-215-2008 | |
Ms. Diane M Savides, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1315 W Main St, Watertown, WI 53094 Phone: 920-261-4100 Fax: 920-261-8801 | |
Mr. Neal Aaron Petersen, MSSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1315 W Main Street, Watertown, WI 53094 Phone: 920-261-4100 Fax: 920-261-8801 |