| Taylor County | |
|
540 College Ave Medford WI 54451 | |
| (715) 748-3332 | |
| (715) 748-3342 |
| Full Name | Taylor County |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 540 College Ave, Medford, Wisconsin |
| Authorized Official Name and Position | Susan M Hady (DIRECTOR) |
| Authorized Official Contact | 7157483332 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor County 540 College Ave Medford WI 54451 Ph: (715) 748-3332 | Taylor County 540 College Ave Medford WI 54451 Ph: (715) 748-3332 |
| NPI Number | 1801092374 |
|---|---|
| Provider Enumeration Date | 06/22/2007 |
| Last Update Date | 10/08/2008 |
| Medicare PECOS PAC ID | 4082798905 |
|---|---|
| Medicare Enrollment ID | O20080229000477 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801092374 | NPI | - | NPPES |
| 42140500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | James S Persing |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588602379 PECOS PAC ID: 5991692162 Enrollment ID: I20040302000908 |
| Provider Name | Randall K Cullen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255368346 PECOS PAC ID: 4486689015 Enrollment ID: I20051003000031 |
| Provider Name | Katelyn Voss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275961203 PECOS PAC ID: 3577799337 Enrollment ID: I20131126001629 |
| Provider Name | Laurie Hoffman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225404361 PECOS PAC ID: 1456893353 Enrollment ID: I20240606003181 |
North Central Region Ccs Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 College St, Medford, WI 54451 Phone: 715-748-3332 Fax: 715-748-3342 | |
Taylor County Human Services Department Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 College St, Medford, WI 54451 Phone: 715-748-3332 Fax: 715-748-3342 | |
Evolve With Karen Counseling Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 304 S Main St, Unit F, Medford, WI 54451 Phone: 715-305-8112 Fax: 715-748-0208 | |
Taylor County Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 College Ave, Medford, WI 54451 Phone: 715-748-3332 Fax: 715-748-3342 | |
Counseling Connection Of Medford Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 W State St, Suite #4, Medford, WI 54451 Phone: 715-748-4312 Fax: 715-748-4407 | |
Nvw Newco, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: W10649 Perkinstown Ave, Medford, WI 54451 Phone: 715-748-0251 |