| Ms Raquel O Medrano, | |
|
503 Wisconsin Ave Ste 2, Sheboygan, WI 53081-4147 | |
| (920) 458-5726 | |
| (920) 458-5826 |
| Full Name | Ms Raquel O Medrano |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 7 Years |
| Location | 503 Wisconsin Ave Ste 2, Sheboygan, 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 |
|---|---|---|---|
| 1861036295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 4465-226 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeside Counseling Center, Llc | 3577006758 | 14 |
| Entity Name | Lakeside Counseling Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215443882 PECOS PAC ID: 3577006758 Enrollment ID: O20240617000182 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Raquel O Medrano, 800 Wisconsin Ave, Racine, WI 53403-1526 Ph: (262) 637-8888 | Ms Raquel O Medrano, 503 Wisconsin Ave Ste 2, Sheboygan, WI 53081-4147 Ph: (920) 458-5726 |
Ms. Kerry Ann Howard, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2010 S 10th St, Sheboygan, WI 53081 Phone: 920-254-6672 | |
Abbey Karrels, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 805 N 6th St, Sheboygan, WI 53081 Phone: 920-457-8866 Fax: 920-457-8867 | |
Benjamin Bechle, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1011 N 8th St, Sheboygan, WI 53081 Phone: 920-459-3207 | |
Mr. William Henry Hoffman Iii, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 805 N 6th St, Sheboygan, WI 53081 Phone: 920-457-8866 Fax: 920-457-8867 | |
Lindsay Marie Rick, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1011 N 8th St, Sheboygan, WI 53081 Phone: 920-459-3169 Fax: 920-459-4353 | |
Angelique Dambruch, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1721 Saemann Ave, Sheboygan, WI 53081 Phone: 920-322-6770 Fax: 920-783-6392 | |
Nicole Terrien, Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 S 8th St, Suite 210, Sheboygan, WI 53081 Phone: 920-323-7431 Fax: 920-358-5970 |