| Jennifer L Bernini, | |
|
540 E Grand Ave, Beloit, WI 53511-6314 | |
| (608) 368-8087 | |
| Not Available |
| Full Name | Jennifer L Bernini |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 3 Years |
| Location | 540 E Grand Ave, Beloit, 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 |
|---|---|---|---|
| 1790456812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 19601-130 (Wisconsin) | Secondary |
| 101YP2500X | Counselor - Professional | 11384-125 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stateline Mental Health Services | 1658655865 | 13 |
| Entity Name | Stateline Mental Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538560255 PECOS PAC ID: 1658655865 Enrollment ID: O20170308001000 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer L Bernini, 540 E Grand Ave, Beloit, WI 53511-6314 Ph: (608) 268-8087 | Jennifer L Bernini, 540 E Grand Ave, Beloit, WI 53511-6314 Ph: (608) 368-8087 |
Mr. Gregory Arthur Ammon, LPC MS NCC Counselor Medicare: Medicare Enrolled Practice Location: 1969 W Hart Road, Beloit, WI 53511 Phone: 608-364-5686 Fax: 608-363-5756 | |
Rhonda S Doherty, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 64 Eclipse Cetner, Beloit, WI 53511 Phone: 608-363-6200 | |
Mr. Haven Macgregor Mcclure, APSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1517 E Huebbe Pkwy Ste A, Beloit, WI 53511 Phone: 815-276-4432 Fax: 608-713-9040 | |
Mrs. Sally J Greer, MS LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1969 W Hart Rd, Beloit, WI 53511 Phone: 608-364-5686 Fax: 608-363-5756 | |
Sarah Jane Petersen, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 540 E Grand Ave, Beloit, WI 53511 Phone: 608-368-8087 | |
Sarah Nocek, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2240 Prairie Ave Ste 10, Beloit, WI 53511 Phone: 608-361-7200 | |
Mrs. Cristina Lynne Kroeze, Counselor Medicare: Accepting Medicare Assignments Practice Location: 1969 W Hart Rd, Counseling Care Center, Beloit, WI 53511 Phone: 608-364-5686 |