| Calumet County | |
|
206 Court St Chilton WI 53014-1127 | |
| (920) 849-1400 | |
| (920) 849-1468 |
| Full Name | Calumet County |
|---|---|
| Speciality | Counselor |
| Location | 206 Court St, Chilton, Wisconsin |
| Authorized Official Name and Position | Todd Romenesko (COUNTY ADMINISTRATOR) |
| Authorized Official Contact | 9208491448 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Calumet County 206 Court St Chilton WI 53014-1127 Ph: (920) 849-1400 | Calumet County 206 Court St Chilton WI 53014-1127 Ph: (920) 849-1400 |
| NPI Number | 1902898406 |
|---|---|
| Provider Enumeration Date | 08/19/2005 |
| Last Update Date | 11/10/2023 |
| Certification Date | 11/10/2023 |
| Medicare PECOS PAC ID | 1254347586 |
|---|---|
| Medicare Enrollment ID | O20060223000794 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902898406 | NPI | - | NPPES |
| 42137900 | Medicaid | WV | |
| 43070800 | Medicaid | WI | |
| 43425900 | Medicaid | WI |
| Provider Name | Shamim Anwar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104916352 PECOS PAC ID: 3476659723 Enrollment ID: I20070502000333 |
| Provider Name | Caroline Poirier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750564266 PECOS PAC ID: 3678656154 Enrollment ID: I20111202000264 |
| Provider Name | Milagros Delcarmen Oliviery-lorenzo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265442016 PECOS PAC ID: 1456486174 Enrollment ID: I20181018000834 |
| Provider Name | Clarissa Justmann |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1669142956 PECOS PAC ID: 1557711686 Enrollment ID: I20240102001041 |
| Provider Name | Ashley Patton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689153686 PECOS PAC ID: 1951751916 Enrollment ID: I20240103002005 |
| Provider Name | Kayla Tate |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1861143737 PECOS PAC ID: 0143671164 Enrollment ID: I20240103004527 |
| Provider Name | Megan Schmitt |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1255416848 PECOS PAC ID: 3375995293 Enrollment ID: I20240116004459 |
| Provider Name | Bernadette Mueller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982945523 PECOS PAC ID: 9234572264 Enrollment ID: I20240207001044 |
| Provider Name | Kristi L Leclair |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497897151 PECOS PAC ID: 1557706892 Enrollment ID: I20240227001719 |
| Provider Name | Katelyn Rose Kotkosky |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831693142 PECOS PAC ID: 1759726805 Enrollment ID: I20240228001645 |
Dept Of Health And Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 Court St, Chilton, WI 53014 Phone: 920-849-1400 Fax: 920-849-1468 | |
Dept Of Health And Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 Court St, Chilton, WI 53014 Phone: 920-849-1400 Fax: 920-849-1468 | |
Liv Free Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 539 N Madison St # C, Chilton, WI 53014 Phone: 920-342-0103 | |
Dept Of Health And Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 Court St, Chilton, WI 53014 Phone: 920-849-1400 Fax: 920-849-1468 | |
Dept Of Health And Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 Court St, Chilton, WI 53014 Phone: 920-849-1400 Fax: 920-849-1468 | |
Calumet County Department Of Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 Court St, Chilton, WI 53014 Phone: 920-849-1400 Fax: 920-849-1468 |