| Brooke D Zank, LPC | |
|
571 County Road A, Green Lake, WI 54941-8630 | |
| (920) 294-4070 | |
| (920) 294-4139 |
| Full Name | Brooke D Zank |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 571 County Road A, Green Lake, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700388782 | NPI | - | NPPES |
| 100075601 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 7875-125 (Wisconsin) | Primary |
| Entity Name | County Of Green Lake |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780867408 PECOS PAC ID: 6507881265 Enrollment ID: O20051011001149 |
| Mailing Address | Practice Location Address |
|---|---|
| Brooke D Zank, LPC 571 County Road A, Green Lake, WI 54941-8630 Ph: (920) 294-4070 | Brooke D Zank, LPC 571 County Road A, Green Lake, WI 54941-8630 Ph: (920) 294-4070 |
Amy M Higginbotham, MS Counselor Medicare: Medicare Enrolled Practice Location: 571 County Road A, Green Lake, WI 54941 Phone: 920-294-4070 Fax: 920-294-4139 | |
Abby Noel Vogt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 571 County Road A, Green Lake, WI 54941 Phone: 920-294-4070 Fax: 920-294-4139 | |
Emily Roth Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Lake Steel Street, Green Lake, WI 54941 Phone: 920-294-4070 Fax: 920-294-4139 | |
Nichol Wienkes, Counselor Medicare: Medicare Enrolled Practice Location: 571 County Road A, Green Lake, WI 54941 Phone: 920-294-4070 Fax: 920-294-4139 | |
Holley Dornfeld, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 571 County Road A, Green Lake, WI 54941 Phone: 920-294-4070 Fax: 920-294-4139 | |
Lana Kay Hilbert, LPC Counselor Medicare: Medicare Enrolled Practice Location: 571 County Road A, Green Lake, WI 54941 Phone: 920-294-4070 Fax: 920-294-4139 |