| Rayna Vogel, | |
|
199 County Road Df, Juneau, WI 53039-9512 | |
| (920) 386-3807 | |
| (920) 386-3812 |
| Full Name | Rayna Vogel |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 199 County Road Df, Juneau, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508593427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 7705-226 (Wisconsin) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 20036-130 (Wisconsin) | Secondary |
| Entity Name | Mind Body Program Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205084118 PECOS PAC ID: 4183756877 Enrollment ID: O20100715000508 |
| Mailing Address | Practice Location Address |
|---|---|
| Rayna Vogel, 199 County Road Df, Juneau, WI 53039-9512 Ph: (920) 386-3500 | Rayna Vogel, 199 County Road Df, Juneau, WI 53039-9512 Ph: (920) 386-3807 |
Thomas Deneen Rusch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 199 County Road Df, Juneau, WI 53039 Phone: 920-386-4094 | |
Greg L Hanson, CADCIII Counselor Medicare: Not Enrolled in Medicare Practice Location: 199 Home Rd, Juneau, WI 53039 Phone: 920-386-3500 Fax: 920-386-3812 | |
Mrs. Kim M Herman, CSW,CADCIII Counselor Medicare: Not Enrolled in Medicare Practice Location: 199 Home Rd, Juneau, WI 53039 Phone: 920-386-3500 Fax: 920-386-3812 | |
Emily Jorgensen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 199 County Road Df, Juneau, WI 53039 Phone: 920-386-3807 | |
Edward Ormont, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 199 Home Rd, Juneau, WI 53039 Phone: 920-386-3500 Fax: 920-386-3812 | |
Ann Nagle, BSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 199 County Road Df, Juneau, WI 53039 Phone: 920-386-3494 Fax: 920-386-3812 | |
Katie Toellner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 199 County Road Df, Juneau, WI 53039 Phone: 920-386-3510 |