| Mr Gary A Grahl, LPC | |
|
50 S Madison Ave, Suite 3, Sturgeon Bay, WI 54235-2742 | |
| (920) 743-4428 | |
| (920) 743-4681 |
| Full Name | Mr Gary A Grahl |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 26 Years |
| Location | 50 S Madison Ave, Sturgeon Bay, 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 |
|---|---|---|---|
| 1770692832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3779-125 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Agnes Hospital | Fond du lac, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Agnesian Healthcare Inc | 1658289624 | 360 |
| 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 |
|---|---|
| Mr Gary A Grahl, LPC 50 S Madison Ave, Suite 3, Sturgeon Bay, WI 54235-2742 Ph: (920) 743-4428 | Mr Gary A Grahl, LPC 50 S Madison Ave, Suite 3, Sturgeon Bay, WI 54235-2742 Ph: (920) 743-4428 |
Kristine Kelly Konrad, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 421 Nebraska St, Sturgeon Bay, WI 54235 Phone: 920-746-7113 | |
Mrs. Amy L Jahnke, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 S Madison Ave, Suite 3, Sturgeon Bay, WI 54235 Phone: 920-743-4428 | |
Mrs. Cassandra Schraft, M.S.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 421 Nebraska St, Sturgeon Bay, WI 54235 Phone: 920-746-2350 Fax: 920-746-2439 | |
Susan M Exworthy, LCSW CSAC Counselor Medicare: Medicare Enrolled Practice Location: 323 S 18th Ave, Sturgeon Bay, WI 54235 Phone: 920-746-0510 | |
Scott A Dadam, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 421 Nebraska St, Sturgeon Bay, WI 54235 Phone: 920-746-2336 Fax: 920-746-2439 | |
Mallory Short, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 3320 Park Dr, Sturgeon Bay, WI 54235 Phone: 920-255-8068 | |
Lisa Barnaby, Counselor Medicare: Medicare Enrolled Practice Location: 1958 Cedar Cir, Sturgeon Bay, WI 54235 Phone: 920-745-1904 |