| Lacie L Anthony, LPC | |
|
37868 Us Highway 18, Prairie Du Chien, WI 53821-8416 | |
| (608) 357-2000 | |
| Not Available |
| Full Name | Lacie L Anthony |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 37868 Us Highway 18, Prairie Du Chien, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679503239 | NPI | - | NPPES |
| 40959200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3444 (Wisconsin) | Primary |
| Entity Name | Prairie Du Chien Memorial Hospital Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619024197 PECOS PAC ID: 4981698537 Enrollment ID: O20040414001308 |
| Mailing Address | Practice Location Address |
|---|---|
| Lacie L Anthony, LPC 37868 Us Highway 18, Prairie Du Chien, WI 53821-8416 Ph: (608) 357-2000 | Lacie L Anthony, LPC 37868 Us Highway 18, Prairie Du Chien, WI 53821-8416 Ph: (608) 357-2000 |
Gregory Clark, Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 N Beaumont Rd, Prairie Du Chien, WI 53821 Phone: 563-252-2537 Fax: 608-326-0420 | |
Lynette R Kansier, Counselor Medicare: Accepting Medicare Assignments Practice Location: 800 E Blackhawk Ave, Prairie Du Chien, WI 53821 Phone: 608-326-0808 | |
Darlene M Meiners, LPC Counselor Medicare: Medicare Enrolled Practice Location: 705 S Buchanan St, Prairie Du Chien, WI 53821 Phone: 608-357-2700 | |
Dixie L Jackson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 E Blackhawk Ave, Prairie Du Chien, WI 53821 Phone: 608-326-0808 Fax: 608-326-0810 | |
Matthew Cram, Counselor Medicare: Medicare Enrolled Practice Location: 37868 Us Highway 18, Prairie Du Chien, WI 53821 Phone: 608-357-2430 | |
Trina Lynne Kroening-skime, Counselor Medicare: Medicare Enrolled Practice Location: 37868 Us Highway 18, Prairie Du Chien, WI 53821 Phone: 608-357-2415 |