| Dr Raven Marie Krautkramer, | |
|
100 N 72nd Ave, Wausau, WI 54401-9042 | |
| (715) 301-0267 | |
| Not Available |
| Full Name | Dr Raven Marie Krautkramer |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 100 N 72nd Ave, Wausau, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306660295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 11390-125 (Wisconsin) | Primary |
| Entity Name | Tall Pines Behavioral Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215519764 PECOS PAC ID: 8123554904 Enrollment ID: O20241204002580 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Raven Marie Krautkramer, 100 N 72nd Ave, Wausau, WI 54401-9042 Ph: () - | Dr Raven Marie Krautkramer, 100 N 72nd Ave, Wausau, WI 54401-9042 Ph: (715) 301-0267 |
Nicole M. Tesch, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 Lake View Dr, Wausau, WI 54403 Phone: 715-848-4600 Fax: 715-845-5398 | |
Karen Slattery, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 Lake View Dr, Wausau, WI 54403 Phone: 715-848-4600 Fax: 715-845-5398 | |
James Hahn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 Lake View Dr, Wausau, WI 54403 Phone: 715-848-4600 | |
Jennifer Hearn, LPC, SAC Counselor Medicare: Medicare Enrolled Practice Location: 1100 Lake View Dr, Wausau, WI 54403 Phone: 715-848-4600 Fax: 715-845-5398 | |
Ann Marie Dixon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 N 3rd St # 208-34, Wausau, WI 54403 Phone: 414-306-0555 | |
Dakota J Kaiser, PHD Counselor Medicare: Medicare Enrolled Practice Location: 100 N 72nd Ave, Wausau, WI 54401 Phone: 715-301-0267 Fax: 844-444-0672 | |
Tania Valentina Alarcon, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 630 S. 36th Avenue, Wausau, WI 54401 Phone: 855-607-8242 |