| Pathway To Wellness Community Clinic Sc | |
|
560 4th St Prairie Du Sac WI 53578-1136 | |
| (608) 370-8131 | |
| (608) 643-5014 |
| Full Name | Pathway To Wellness Community Clinic Sc |
|---|---|
| Speciality | Social Worker |
| Location | 560 4th St, Prairie Du Sac, Wisconsin |
| Authorized Official Name and Position | Tammy M Kirch (OWNER) |
| Authorized Official Contact | 6086433663 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathway To Wellness Community Clinic Sc 560 4th St Prairie Du Sac WI 53578-1136 Ph: (608) 643-3663 | Pathway To Wellness Community Clinic Sc 560 4th St Prairie Du Sac WI 53578-1136 Ph: (608) 370-8131 |
| NPI Number | 1528413739 |
|---|---|
| Provider Enumeration Date | 04/26/2016 |
| Last Update Date | 12/12/2023 |
| Certification Date | 12/12/2023 |
| Medicare PECOS PAC ID | 4981995479 |
|---|---|
| Medicare Enrollment ID | O20160613001913 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528413739 | NPI | - | NPPES |
| Provider Name | Richard T Zabriskie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154353894 PECOS PAC ID: 0749276715 Enrollment ID: I20040423000933 |
| Provider Name | Michael J Orrico |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427255678 PECOS PAC ID: 9931289071 Enrollment ID: I20080102000472 |
| Provider Name | Michael L Hammer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629035324 PECOS PAC ID: 5193907640 Enrollment ID: I20110304000735 |
| Provider Name | Kelsey M Greenwood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902390768 PECOS PAC ID: 2365792611 Enrollment ID: I20180906001936 |