Ms Suzette M Kosnar-tittl, MA is a
Social Worker - Clinical based in Green Bay, Wisconsin. Ms Suzette M Kosnar-tittl is licensed to practice in Wisconsin (license number 4044123) and her current practice location is
529 S Jefferson St Ste 202, Green Bay, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 884-2175.
NPI number for Ms Suzette M Kosnar-tittl is 1285736249 and her current mailing address is 529 S Jefferson St Ste 202, Green Bay, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285736249.
Healthcare Provider's Profile
| Full Name | Ms Suzette M Kosnar-tittl |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 529 S Jefferson St Ste 202, Green Bay, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1285736249
- Provider Enumeration Date: 09/01/2006
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Ms Suzette M Kosnar-tittl such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285736249 | NPI | - | NPPES |
| 39722900 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 2376125 (Wisconsin) | Secondary |
| 106H00000X | Marriage & Family Therapist | 489124 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 4044123 (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 Suzette M Kosnar-tittl 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 Suzette M Kosnar-tittl, MA
529 S Jefferson St Ste 202,
Green Bay, WI 54301-4125
Ph: (920) 884-2175 | Ms Suzette M Kosnar-tittl, MA
529 S Jefferson St Ste 202,
Green Bay, WI 54301-4125
Ph: (920) 884-2175 |
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