| Andrea Marie Boatman, LPC | |
|
515 22nd Ave, Monroe, WI 53566-1569 | |
| (608) 324-2394 | |
| Not Available |
| Full Name | Andrea Marie Boatman |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 515 22nd Ave, Monroe, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487421301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 10400-125 (Wisconsin) | Secondary |
| 101YP2500X | Counselor - Professional | 10400 (Wisconsin) | Primary |
| Entity Name | The Monroe Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386720548 PECOS PAC ID: 3072425495 Enrollment ID: O20031104000392 |
| Entity Name | The Psychology Center S C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710942107 PECOS PAC ID: 6507857463 Enrollment ID: O20040519001379 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Marie Boatman, LPC 515 22nd Ave, Monroe, WI 53566-1569 Ph: () - | Andrea Marie Boatman, LPC 515 22nd Ave, Monroe, WI 53566-1569 Ph: (608) 324-2394 |
Cari Gwendolyn Wild, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2841 6th St, Monroe, WI 53566 Phone: 608-328-9352 | |
Daniel Harold Doden, L.P.C. Counselor Medicare: Medicare Enrolled Practice Location: N3152 Hwy 81, Monroe, WI 53566 Phone: 608-328-9308 Fax: 608-328-9480 | |
Anita Maria Stein, Counselor Medicare: Not Enrolled in Medicare Practice Location: N3152 Hwy 81, Monroe, WI 53566 Phone: 608-328-9357 | |
Susan Shanks, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1209 17th Ave, Monroe, WI 53566 Phone: 608-426-6463 Fax: 608-631-3009 | |
Barbara R Alexander, B.S., CSAC Counselor Medicare: Accepting Medicare Assignments Practice Location: N3152 State Road 81, Monroe, WI 53566 Phone: 608-328-9304 Fax: 608-328-9480 | |
Janet Arce, Counselor Medicare: Not Enrolled in Medicare Practice Location: N3152 State Road 81, Monroe, WI 53566 Phone: 608-328-9393 Fax: 608-328-9480 | |
Hunter James Tierman, CRC, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: N3152 State Road 81, Monroe, WI 53566 Phone: 608-328-9393 |