| Diane M Baird, LICENSED PROFESSIONA | |
|
3163 State Hwy 55, Crandon, WI 54520-0275 | |
| (715) 478-5180 | |
| (715) 478-5904 |
| Full Name | Diane M Baird |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 24 Years |
| Location | 3163 State Hwy 55, Crandon, 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 |
|---|---|---|---|
| 1578698916 | NPI | - | NPPES |
| 43591300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3691125 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sa Limberg Inc | 3476832338 | 6 |
| Entity Name | Sa Limberg Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649725888 PECOS PAC ID: 3476832338 Enrollment ID: O20161116002142 |
| Mailing Address | Practice Location Address |
|---|---|
| Diane M Baird, LICENSED PROFESSIONA 3163 State Hwy 55, Crandon, WI 54520-0275 Ph: (715) 478-5180 | Diane M Baird, LICENSED PROFESSIONA 3163 State Hwy 55, Crandon, WI 54520-0275 Ph: (715) 478-5180 |
James Seymour, CSW/CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8201 Mish Ko Swen Dr, Crandon, WI 54520 Phone: 715-478-4332 | |
Jennifer Krzmarcik, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 8201 Mish Ko Swen Dr, Crandon, WI 54520 Phone: 715-478-4370 | |
David Rynearson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8201 Mish Ko Swen Dr, Crandon, WI 54520 Phone: 715-478-4300 | |
Karen A Minx, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3144 Vanzile Road, Crandon, WI 54520 Phone: 715-478-5180 Fax: 715-478-5904 | |
Nicholas Bolte, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8201 Mish Ko Swen Dr, Crandon, WI 54520 Phone: 715-478-4300 | |
Jolene A Derfus, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3144 Vanzile Rd, Crandon, WI 54520 Phone: 715-478-5180 |