| Tanya Zaloudek, | |
|
1225 Langlade Road, Antigo, WI 54409 | |
| (715) 623-2394 | |
| (715) 627-4194 |
| Full Name | Tanya Zaloudek |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1225 Langlade Road, Antigo, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760578686 | NPI | - | NPPES |
| 40974100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3372 (Wisconsin) | Primary |
| Entity Name | Human Services Board Serving North Central Health Care Facility |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205944543 PECOS PAC ID: 4385617786 Enrollment ID: O20040813001207 |
| Mailing Address | Practice Location Address |
|---|---|
| Tanya Zaloudek, 1100 Lake View Drive, Wausau, WI 54403 Ph: (715) 848-4600 | Tanya Zaloudek, 1225 Langlade Road, Antigo, WI 54409 Ph: (715) 623-2394 |
Amanda E Baddmoccosin-barnes, APSW, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1225 Langlade Rd, Antigo, WI 54409 Phone: 715-627-6694 | |
Anna M Wheelock, LPC, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1225 Langlade Rd, Antigo, WI 54409 Phone: 715-627-6694 Fax: 715-627-6645 | |
Sarah Petroskey, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1225 Langlade Rd, Antigo, WI 54409 Phone: 715-627-6694 Fax: 715-627-6645 | |
Mr. Thomas E Mcgrath, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 612 Clermont St, Antigo, WI 54409 Phone: 715-627-0371 Fax: 715-845-8483 | |
Suzanne Marie Pennington, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1225 Langlade Rd, Antigo, WI 54409 Phone: 715-627-6694 | |
Patricia Gustafson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1225 Langlade Road, Antigo, WI 54409 Phone: 715-623-2394 Fax: 715-627-4194 | |
Aubrey Leigh D Newton, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1225 Langlade Rd, Antigo, WI 54409 Phone: 715-327-6694 |