| Grady O'neill, MA | |
|
115 5th Ave N, Hurley, WI 54534-1208 | |
| (715) 329-1288 | |
| Not Available |
| Full Name | Grady O'neill |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 11 Years |
| Location | 115 5th Ave N, Hurley, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245695899 | NPI | - | NPPES |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Lakes Community Health Center Inc | 0840366654 | 104 |
| Entity Name | The Lakes Community Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811178825 PECOS PAC ID: 0840366654 Enrollment ID: O20101019000186 |
| Mailing Address | Practice Location Address |
|---|---|
| Grady O'neill, MA 115 5th Ave N, Hurley, WI 54534-1208 Ph: (715) 329-1288 | Grady O'neill, MA 115 5th Ave N, Hurley, WI 54534-1208 Ph: (715) 329-1288 |
Cally Bucknell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Taconite St, Suite 201, Hurley, WI 54534 Phone: 715-561-3636 |
Caitlin A Dufour, LCSW, SAC-IT Counselor Medicare: Accepting Medicare Assignments Practice Location: 115 5th Ave N, Hurley, WI 54534 Phone: 715-329-1288 |
Anne M Harris, MS, LPC, BCPC Counselor Medicare: May Accept Medicare Assignments Practice Location: 300 Taconite St, Suite 201, Hurley, WI 54534 Phone: 715-561-3636 Fax: 715-561-2128 |
Benita R Allen, MSED Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Taconite St, Suite 201, Hurley, WI 54534 Phone: 715-561-3636 Fax: 715-561-2128 |
Mark Wesley Bolen, MSE, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 209 Silver St, Hurley, WI 54534 Phone: 906-285-9710 Fax: 855-543-0237 |