| Susan Serge, | |
|
812 E 4th St, Gillette, WY 82716-4033 | |
| (307) 299-9989 | |
| Not Available |
| Full Name | Susan Serge |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 14 Years |
| Location | 812 E 4th St, Gillette, Wyoming |
| 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 |
|---|---|---|---|
| 1548092513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 1560 (Wyoming) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hoskinson Health And Wellness Clinic Llc | 1153706346 | 54 |
| Entity Name | Hoskinson Health & Wellness Clinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376280750 PECOS PAC ID: 1153706346 Enrollment ID: O20220925000057 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Serge, 812 E 4th St, Gillette, WY 82716-4033 Ph: Not Available | Susan Serge, 812 E 4th St, Gillette, WY 82716-4033 Ph: (307) 299-9989 |
Jean-raphael De Raoulx, LPC #2556 Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Warren Ave, Gillette, WY 82716 Phone: 307-682-2034 |
Ms. Judeth Petersen, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 S Burma Ave, Gillette, WY 82716 Phone: 307-688-5000 Fax: 307-688-5015 |
Jane R King, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 702 S Kendrick Ave, Gillette, WY 82716 Phone: 307-688-8700 |
Tara Reed, M.A., NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1800 West 4-j Rd., Gillette, WY 82718 Phone: 307-682-5433 |
Rebecca N Terry, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 542 Running W Dr, Gillette, WY 82718 Phone: 307-257-2331 |
Miss Stephanie Berens, Counselor Medicare: May Accept Medicare Assignments Practice Location: 812 E 4th St, Gillette, WY 82716 Phone: 073-257-7180 Fax: 307-257-7183 |
Ms. Sarah Leger-hayworth, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 801 E 4th St Ste 9, Gillette, WY 82716 Phone: 307-257-2290 |