| Mark Daniel Dittloff, MS, LPC | |
|
820 Arbutus Ave, Oconto, WI 54153-2004 | |
| (920) 834-8833 | |
| (920) 834-8830 |
| Full Name | Mark Daniel Dittloff |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 35 Years |
| Location | 820 Arbutus Ave, Oconto, 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 |
|---|---|---|---|
| 1194965590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 64969 (Texas) | Secondary |
| 101YP2500X | Counselor - Professional | 8608-125 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oconto Hospital And Medical Center Inc | 2163461781 | 188 |
| Entity Name | Bellin Psychiatric Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801150206 PECOS PAC ID: 4486551058 Enrollment ID: O20121222000022 |
| Entity Name | Oconto Hospital & Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356799969 PECOS PAC ID: 2163461781 Enrollment ID: O20161123001560 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Daniel Dittloff, MS, LPC Po Box 1866, Green Bay, WI 54305-1866 Ph: (920) 445-7210 | Mark Daniel Dittloff, MS, LPC 820 Arbutus Ave, Oconto, WI 54153-2004 Ph: (920) 834-8833 |
David Schreiter, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 Park Ave, Oconto, WI 54153 Phone: 920-834-7030 Fax: 920-834-6889 | |
Mrs. Julie A Whitworth, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 Park Ave, Oconto, WI 54153 Phone: 920-834-7000 Fax: 920-834-6889 | |
Todd Robert Holman, MSW LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 820 Arbutus Ave, Oconto, WI 54153 Phone: 920-835-5500 Fax: 920-835-5510 | |
Lori Jo Eklund Walsh, LCSW,LPC,SAC Counselor Medicare: Accepting Medicare Assignments Practice Location: 820 Arbutus Ave, Oconto, WI 54153 Phone: 920-835-5500 Fax: 920-835-5510 | |
Mr. Christopher Hanke, LPC, SAC Counselor Medicare: Accepting Medicare Assignments Practice Location: 501 Park Ave, Oconto, WI 54153 Phone: 920-834-7019 Fax: 920-834-6889 | |
Kimberly Guerrero, LCSW CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 614 2nd St, Oconto, WI 54153 Phone: 920-461-6995 |