| Lynn Marie Genz, LPC | |
|
430 E Division St, Fond Du Lac, WI 54935-4560 | |
| (920) 926-4200 | |
| (920) 926-8933 |
| Full Name | Lynn Marie Genz |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 430 E Division St, Fond Du Lac, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053508135 | NPI | - | NPPES |
| 3940-125 | Other | WI | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3940-125 (Wisconsin) | Primary |
| Entity Name | Agnesian Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263 |
| Mailing Address | Practice Location Address |
|---|---|
| Lynn Marie Genz, LPC 1808 W Beltline Hwy, Ssm Health Fdl Regional Clinic, Madison, WI 53713-2334 Ph: (608) 280-4647 | Lynn Marie Genz, LPC 430 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-4200 |
Claire Elizabeth Krizman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 310-880-8864 | |
Jenna R Pieper, Counselor Medicare: Not Enrolled in Medicare Practice Location: 459 E 1st St, Fond Du Lac, WI 54935 Phone: 920-929-3500 Fax: 920-929-3129 | |
Amanda Rentmeester, Counselor Medicare: Not Enrolled in Medicare Practice Location: W6986 Newton Rd, Fond Du Lac, WI 54937 Phone: 414-416-7368 | |
Sandra M Schug, MS, LPC-IT, CSAC Counselor Medicare: Medicare Enrolled Practice Location: 459 E 1st St, Fond Du Lac, WI 54935 Phone: 920-929-3500 | |
Tania Rhoads, CISW, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 Forest Ave, Suite 116, Fond Du Lac, WI 54935 Phone: 920-907-0813 Fax: 920-907-0826 | |
Kaitlyn Kenealy, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 131 S Main St Ste M05, Fond Du Lac, WI 54935 Phone: 920-659-5414 |