| Mr David F Wiltzius, LPC | |
|
196 3rd St, Fond Du Lac, WI 54935-4418 | |
| (920) 921-3343 | |
| (920) 921-0989 |
| Full Name | Mr David F Wiltzius |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 51 Years |
| Location | 196 3rd St, Fond Du Lac, 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 |
|---|---|---|---|
| 1811101421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 780-125 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sa Limberg Inc | 3476832338 | 6 |
| Entity Name | Sa Limberg Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649725888 PECOS PAC ID: 3476832338 Enrollment ID: O20161116002142 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr David F Wiltzius, LPC 196 3rd St, Fond Du Lac, WI 54935-4418 Ph: (920) 921-3343 | Mr David F Wiltzius, LPC 196 3rd St, Fond Du Lac, WI 54935-4418 Ph: (920) 921-3343 |
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: Accepting Medicare Assignments 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 | |
Lynn Marie Genz, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-4200 Fax: 920-926-8933 |