| David Eric Wilsher, MS | |
|
1118 Professional Dr, Dodgeville, WI 53533-1176 | |
| (608) 935-2838 | |
| (608) 935-9227 |
| Full Name | David Eric Wilsher |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 1118 Professional Dr, Dodgeville, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780882530 | NPI | - | NPPES |
| 1780882530 | Medicaid | WI | |
| 43714000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3916 (Wisconsin) | Primary |
| Entity Name | Uplands Counseling Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770599078 PECOS PAC ID: 4981635653 Enrollment ID: O20050823000739 |
| Mailing Address | Practice Location Address |
|---|---|
| David Eric Wilsher, MS 1118 Professional Dr, Dodgeville, WI 53533-1176 Ph: (608) 935-2838 | David Eric Wilsher, MS 1118 Professional Dr, Dodgeville, WI 53533-1176 Ph: (608) 935-2838 |
Ms. Laura Jean Gjestson, LCSW LICENSED CLINCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 829 S Iowa St, Dodgeville, WI 53533 Phone: 608-935-2838 Fax: 608-935-9227 | |
Diana M Kroeber, CACD III Counselor Medicare: Not Enrolled in Medicare Practice Location: 1122 Professional Dr, Dodgeville, WI 53533 Phone: 608-935-2776 Fax: 608-935-3174 | |
Ms. Christine Chiye Tsubokura, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1118 Professional Dr, Uplands Counseling Assoc, Dodgeville, WI 53533 Phone: 608-935-2838 Fax: 608-935-9227 | |
Julia Bowers, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1122 Professional Dr, Dodgeville, WI 53533 Phone: 608-935-2776 |