| Jacqueline J Baures, LPC | |
|
517 Court St Rm 503, Neillsville, WI 54456-1976 | |
| (715) 937-6063 | |
| Not Available |
| Full Name | Jacqueline J Baures |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 11 Years |
| Location | 517 Court St Rm 503, Neillsville, Wisconsin |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508501131 | NPI | - | NPPES |
| 100200049 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 5159-226 (Wisconsin) | Secondary |
| 101YP2500X | Counselor - Professional | 11214-125 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Clark County | 3476464843 | 6 |
| Community Service Associates, Sc | 8426948746 | 27 |
| Entity Name | Community Service Associates, Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780610923 PECOS PAC ID: 8426948746 Enrollment ID: O20040318001251 |
| Entity Name | Clark County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598986564 PECOS PAC ID: 3476464843 Enrollment ID: O20110405000837 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline J Baures, LPC 812 E 4th St, Owen, WI 54460-9514 Ph: (715) 937-6063 | Jacqueline J Baures, LPC 517 Court St Rm 503, Neillsville, WI 54456-1976 Ph: (715) 937-6063 |
Kayla Rochester, Counselor Medicare: Medicare Enrolled Practice Location: 517 Court St Rm 503, Neillsville, WI 54456 Phone: 715-743-5208 Fax: 715-743-5209 | |
Mr. James David Kramer, CADC III, CCS II Counselor Medicare: Not Enrolled in Medicare Practice Location: 517 Court St, Room 503, Neillsville, WI 54456 Phone: 715-743-5208 Fax: 715-743-5209 | |
Ms. Amy Claire Willette, RN, MS, CADC, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 517 Court St, Room 503, Neillsville, WI 54456 Phone: 715-743-5204 Fax: 715-743-5209 | |
Theresa Gunn, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 517 Court St Rm 503, Neillsville, WI 54456 Phone: 715-743-5208 Fax: 715-743-5209 | |
Kathryn D Kinter, LPC Counselor Medicare: May Accept Medicare Assignments Practice Location: 517 Court St Rm 503, Neillsville, WI 54456 Phone: 715-743-5208 Fax: 715-743-5209 | |
Ms. Erin Kaye Drawz, LPC Counselor Medicare: May Accept Medicare Assignments Practice Location: 517 Court St Rm 503, Neillsville, WI 54456 Phone: 715-743-5208 Fax: 715-743-5209 |