| Lynette Gunville, MED | |
|
721 American Ave, Suite 501, Waukesha, WI 53188 | |
| (262) 928-2396 | |
| (262) 544-1213 |
| Full Name | Lynette Gunville |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 29 Years |
| Location | 721 American Ave, Waukesha, 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 |
|---|---|---|---|
| 1750419875 | NPI | - | NPPES |
| 43586100 | Medicaid | WI | |
| 2982125 | Other | WI | LPC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 2982125 (Wisconsin) | Secondary |
| 101YP2500X | Counselor - Professional | 2982 (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 |
|---|---|
| Lynette Gunville, MED 721 American Ave, Suite 501, Waukesha, WI 53188 Ph: (262) 928-2396 | Lynette Gunville, MED 721 American Ave, Suite 501, Waukesha, WI 53188 Ph: (262) 928-2396 |
Stephanie Pattengale, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 721 American Ave, Ste 501, Waukesha, WI 53188 Phone: 262-928-4036 | |
Lisa Beth Moore, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 W Broadway Fl 2, Waukesha, WI 53186 Phone: 262-547-5567 | |
Rachel A Feller, LCSW, SAC-IT Counselor Medicare: Medicare Enrolled Practice Location: 514 Riverview Ave, Waukesha, WI 53188 Phone: 262-893-5317 | |
Jenna Marie Jackson, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1501 Airport Rd, Waukesha, WI 53188 Phone: 262-548-7666 | |
Daniel E Hermsen, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: W231 N1440 Corporate Court, Suite 310, Waukesha, WI 53186 Phone: 282-896-6186 Fax: 262-896-6139 | |
Jayne Weyer-smith, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 707 W Moreland Blvd, Suite 5, Waukesha, WI 53188 Phone: 262-542-0123 Fax: 262-542-1199 | |
Amanda J Dowling, PCIT Counselor Medicare: Not Enrolled in Medicare Practice Location: 721 American Ave Ste 501, Waukesha, WI 53188 Phone: 262-928-4036 Fax: 262-928-5096 |