| Mary T Pauli, LCPC | |
|
111 W Fulton St, Edgerton, WI 53534-1876 | |
| (608) 561-6614 | |
| (608) 561-6642 |
| Full Name | Mary T Pauli |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 17 Years |
| Location | 111 W Fulton St, Edgerton, 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 |
|---|---|---|---|
| 1073148656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 180.010034 (Illinois) | Secondary |
| 101YM0800X | Counselor - Mental Health | 7545-125 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Edgerton Hospital And Health Services, Inc | 7719874502 | 40 |
| Entity Name | Edgerton Hospital and Health Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154350049 PECOS PAC ID: 7719874502 Enrollment ID: O20040304000743 |
| Entity Name | Edgerton Hospital and Health Services, Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1154350049 PECOS PAC ID: 7719874502 Enrollment ID: O20110318000342 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary T Pauli, LCPC 11101 N Sherman Rd, Edgerton, WI 53534-9002 Ph: (608) 884-3441 | Mary T Pauli, LCPC 111 W Fulton St, Edgerton, WI 53534-1876 Ph: (608) 561-6614 |
Joshua R Lee, EDD, LPC, NCC Counselor Medicare: Accepting Medicare Assignments Practice Location: 6 W Fulton St, Edgerton, WI 53534 Phone: 608-770-3803 |
Aaron Peter Mertes, PHD, LPC-IT, CRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11332 N Ricky Rd, Edgerton, WI 53534 Phone: 319-693-5694 |