Erick Lichte Krueger, is a
Social Worker based in Baraboo, Wisconsin. Erick Lichte Krueger is licensed to practice in Wisconsin (license number 3613-123) and his current practice location is
840 Us-12 #1, Baraboo, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(608) 477-9858.
NPI number for Erick Lichte Krueger is 1508359928 and his current mailing address is 840 Us-12 #1, Baraboo, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508359928.
Healthcare Provider's Profile
| Full Name | Erick Lichte Krueger |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker |
|---|
| Location | 840 Us-12 #1, Baraboo, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508359928
- Provider Enumeration Date: 06/11/2018
- Last Update Date: 06/11/2018
Medical Identifiers
Medical identifiers for Erick Lichte Krueger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1508359928 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YP2500X | Counselor - Professional | 2-125 (Wisconsin) | Secondary |
| 104100000X | Social Worker | 3613-123 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Erick Lichte Krueger is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Erick Lichte Krueger, 840 Us-12 #1, Baraboo, WI 53913 Ph: (608) 477-9858 | Erick Lichte Krueger, 840 Us-12 #1, Baraboo, WI 53913 Ph: (608) 477-9858 |
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