Sandra Magnuson, | |
220 Washington Ave, Oshkosh, WI 54901-5030 | |
(920) 236-4600 | |
Not Available |
Full Name | Sandra Magnuson |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 220 Washington Ave, Oshkosh, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013079300 | NPI | - | NPPES |
42156000 | Medicaid | WI | |
42139300 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 3467-123 (Wisconsin) | Primary |
Entity Name | County Of Winnebago |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508960675 PECOS PAC ID: 4082515358 Enrollment ID: O20040119000703 |
Mailing Address | Practice Location Address |
---|---|
Sandra Magnuson, 220 Washington Ave, Oshkosh, WI 54901-5030 Ph: (920) 236-4700 | Sandra Magnuson, 220 Washington Ave, Oshkosh, WI 54901-5030 Ph: (920) 236-4600 |
Samantha N Becker, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 220 Washington Ave, Oshkosh, WI 54901 Phone: 920-236-4700 | |
Wendy Wiegman, M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 220 Washington Ave, Oshkosh, WI 54901 Phone: 920-236-4700 | |
Jennifer Kettenhoven, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1415 Fairview St, Oshkosh, WI 54901 Phone: 920-526-1027 | |
Ms. Kim S Charniak, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 100 N Main St Ste 103, Oshkosh, WI 54901 Phone: 920-385-1420 Fax: 866-327-3295 | |
Mrs. Sarah Elizabeth Danahy, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 600 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-237-5000 Fax: 920-237-5001 | |
Theresa A Boudreau-vnuk, B.X. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 220 Washington Ave, Oshkosh, WI 54901 Phone: 920-236-4700 |