Michael Owen, SAC-IT | |
1622 Chestnut St, West Bend, WI 53095-3014 | |
(262) 338-9498 | |
(262) 338-9506 |
Full Name | Michael Owen |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 1622 Chestnut St, West Bend, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669701561 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 15918-130 (Wisconsin) | Secondary |
101YP2500X | Counselor - Professional | 4842 (Wisconsin) | Primary |
Entity Name | Alarus Healthcare Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457788242 PECOS PAC ID: 8022231026 Enrollment ID: O20140520001508 |
Mailing Address | Practice Location Address |
---|---|
Michael Owen, SAC-IT 285 N Janacek Rd, Brookfield, WI 53045-6102 Ph: (262) 641-9050 | Michael Owen, SAC-IT 1622 Chestnut St, West Bend, WI 53095-3014 Ph: (262) 338-9498 |
Ms. Ashley Elizabeth Birkholz, CAPSW, SAC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1626 Clarence Ct, West Bend, WI 53095 Phone: 262-338-8611 Fax: 262-338-3367 | |
Renee M Janusz, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 333 E Washington St Ste 2000, West Bend, WI 53095 Phone: 262-335-4545 Fax: 262-335-6827 | |
William James Skalecki, Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 N Main St Ste 110, West Bend, WI 53095 Phone: 262-707-3052 | |
Jennifer Ryan, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1626 Clarence Ct, West Bend, WI 53095 Phone: 262-338-8611 | |
Jonathan France, LPC, SAC-IT Counselor Medicare: Medicare Enrolled Practice Location: 333 E Washington St Ste 2100, West Bend, WI 53095 Phone: 262-365-6563 Fax: 262-365-6559 | |
Hollister L Jefferson, M.A., SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 W River Dr, West Bend, WI 53090 Phone: 262-334-4340 | |
Shana J Schloemer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1615 Barton Ave, West Bend, WI 53090 Phone: 262-334-5392 Fax: 262-334-4475 |