| Gina Ann Lundervold-foley, MS | |
|
515 22nd Ave, Monroe, WI 53566-1569 | |
| (608) 324-2000 | |
| Not Available |
| Full Name | Gina Ann Lundervold-foley |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 20 Years |
| Location | 515 22nd Ave, Monroe, 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 |
|---|---|---|---|
| 1831563444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 226-2765 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oregon Mental Health Services,llc | 0143393884 | 10 |
| Entity Name | Oregon Mental Health Services,llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801925433 PECOS PAC ID: 0143393884 Enrollment ID: O20080714000649 |
| Mailing Address | Practice Location Address |
|---|---|
| Gina Ann Lundervold-foley, MS 203 United Way, Frederic, WI 54837-8938 Ph: (715) 327-4402 | Gina Ann Lundervold-foley, MS 515 22nd Ave, Monroe, WI 53566-1569 Ph: (608) 324-2000 |
Madison Mae Bezik, Counselor Medicare: Not Enrolled in Medicare Practice Location: N3152 State Road 81, Monroe, WI 53566 Phone: 608-328-9352 Fax: 608-328-9480 | |
Daniel Harold Doden, L.P.C. Counselor Medicare: Medicare Enrolled Practice Location: N3152 Hwy 81, Monroe, WI 53566 Phone: 608-328-9308 Fax: 608-328-9480 | |
Anita Maria Stein, Counselor Medicare: Not Enrolled in Medicare Practice Location: N3152 Hwy 81, Monroe, WI 53566 Phone: 608-328-9357 | |
Susan Shanks, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1209 17th Ave, Monroe, WI 53566 Phone: 608-426-6463 Fax: 608-631-3009 | |
Barbara R Alexander, B.S., CSAC Counselor Medicare: Medicare Enrolled Practice Location: N3152 State Road 81, Monroe, WI 53566 Phone: 608-328-9304 Fax: 608-328-9480 | |
Janet Arce, Counselor Medicare: Not Enrolled in Medicare Practice Location: N3152 State Road 81, Monroe, WI 53566 Phone: 608-328-9393 Fax: 608-328-9480 | |
Hunter James Tierman, CRC, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: N3152 State Road 81, Monroe, WI 53566 Phone: 608-328-9393 |