| Jonathan J Schulz, MSE | |
|
2901 Hunters Trl, Portage, WI 53901-3403 | |
| (608) 742-5518 | |
| (608) 742-4087 |
| Full Name | Jonathan J Schulz |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 33 Years |
| Location | 2901 Hunters Trl, Portage, 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 |
|---|---|---|---|
| 1770512782 | NPI | - | NPPES |
| 39763200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 2773-125 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan J Schulz, MSE Po Box 301, Portage, WI 53901-0301 Ph: (608) 742-5518 | Jonathan J Schulz, MSE 2901 Hunters Trl, Portage, WI 53901-3403 Ph: (608) 742-5518 |
Mrs. Heather Jane Gove, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2639 New Pinery Rd # 1, Portage, WI 53901 Phone: 608-742-5020 | |
Shaun Alexander Hardie, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2639 New Pinery Rd Ste 1, Portage, WI 53901 Phone: 608-742-5020 Fax: 608-742-7011 | |
Melissa Trago, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1508 New Pinery Rd, Portage, WI 53901 Phone: 608-745-4900 | |
Robin A Deethardt, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2901 Hunters Trl, Portage, WI 53901 Phone: 608-742-5518 Fax: 608-742-4087 | |
Susan A Knower, LPC, IDPAT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2901 Hunters Trl, Portage, WI 53901 Phone: 608-742-5518 Fax: 608-742-4087 | |
Sarah J Kravick, LMFT Counselor Medicare: Medicare Enrolled Practice Location: 2639 New Pinery Rd, Suite 1, Portage, WI 53901 Phone: 608-742-5020 Fax: 608-742-3641 | |
Kristine G Schmitt, MA, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 2901 Hunters Trl, Portage, WI 53901 Phone: 608-742-5518 |