| Lisa James, | |
|
418 E Wisconsin Ave, Oconomowoc, WI 53066-3040 | |
| (414) 429-6403 | |
| Not Available |
| Full Name | Lisa James |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 10 Years |
| Location | 418 E Wisconsin Ave, Oconomowoc, 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 |
|---|---|---|---|
| 1356805808 | NPI | - | NPPES |
| 463263406 | Other | WI | 1477543981 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6555-125 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prohealth Medical Group Inc | 3476465188 | 443 |
| Entity Name | Prohealth Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356322440 PECOS PAC ID: 3476465188 Enrollment ID: O20031103000066 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa James, 1085 Revere Dr, Oconomowoc, WI 53066-4422 Ph: (414) 429-6403 | Lisa James, 418 E Wisconsin Ave, Oconomowoc, WI 53066-3040 Ph: (414) 429-6403 |
Theresa M Kerner, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 E Forest St, Oconomowoc, WI 53066 Phone: 262-661-1759 | |
Ms. M Fay Sanders, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 888 Thackeray Trl Ste 105, Oconomowoc, WI 53066 Phone: 262-542-3255 Fax: 262-567-5451 | |
Kelly Muston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1230 Corporate Center Dr, Suite 100, Oconomowoc, WI 53066 Phone: 262-789-1191 | |
Rose Worden, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 36100 Genesee Lake Rd, Oconomowoc, WI 53066 Phone: 262-569-5515 | |
Michelle J Damm, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 418 E Wisconsin Ave, Oconomowoc, WI 53066 Phone: 414-429-6403 | |
Amanda Donath, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 712 Summit Ave Ste 714, Oconomowoc, WI 53066 Phone: 262-226-2006 Fax: 262-226-2462 | |
Kayla Housh-kornowski, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1205 Corporate Center Dr, Oconomowoc, WI 53066 Phone: 262-646-1865 |