Ms Holly Rae Pagel, MSW is a
Social Worker - Clinical based in Jefferson, Wisconsin. Ms Holly Rae Pagel is licensed to practice in Wisconsin (license number 7624-123) and her current practice location is
1541 Annex Rd, Jefferson, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 674-8108.
NPI number for Ms Holly Rae Pagel is 1245569524 and her current mailing address is 1541 Annex Rd, Jefferson, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245569524.
Healthcare Provider's Profile
| Full Name | Ms Holly Rae Pagel |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1541 Annex Rd, Jefferson, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1245569524
- Provider Enumeration Date: 12/15/2009
- Last Update Date: 08/20/2013
Medical Identifiers
Medical identifiers for Ms Holly Rae Pagel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245569524 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 7624-123 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 7624-123 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Holly Rae Pagel is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Holly Rae Pagel, MSW
1541 Annex Rd,
Jefferson, WI 53549-9803
Ph: (920) 674-8108 | Ms Holly Rae Pagel, MSW
1541 Annex Rd,
Jefferson, WI 53549-9803
Ph: (920) 674-8108 |
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