| Trixie Murphy, LCSW, SAC-IT | |
|
571 County Road A, Green Lake, WI 54941-8630 | |
| (920) 294-4070 | |
| (920) 294-4139 |
| Full Name | Trixie Murphy |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 11 Years |
| Location | 571 County Road A, Green Lake, 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 |
|---|---|---|---|
| 1174976203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 8554-123 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gundersen Lutheran Medical Center | La crosse, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gundersen Lutheran Medical Center Inc | 2163331414 | 793 |
| Entity Name | Gundersen Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20031106000139 |
| Entity Name | Tri-county Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417201864 PECOS PAC ID: 4587642418 Enrollment ID: O20040708000696 |
| Entity Name | Gundersen Lutheran Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225873458 PECOS PAC ID: 2163331414 Enrollment ID: O20130619000254 |
| Mailing Address | Practice Location Address |
|---|---|
| Trixie Murphy, LCSW, SAC-IT 571 County Road A, Po Box 588, Green Lake, WI 54941-8630 Ph: (920) 294-4070 | Trixie Murphy, LCSW, SAC-IT 571 County Road A, Green Lake, WI 54941-8630 Ph: (920) 294-4070 |
Jessica A. Bowman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 571 County Road A, Green Lake, WI 54941 Phone: 920-294-4070 Fax: 920-294-4139 | |
Sara Rose Rhode, LCSW, CSAC, ICS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 571 County Road A, Green Lake, WI 54941 Phone: 920-294-4070 Fax: 920-294-4139 |