| Lisa Ann Ladwig, PMHNP | |
|
400 S Townline Rd, Wautoma, WI 54982-6922 | |
| (800) 942-5330 | |
| Not Available |
| Full Name | Lisa Ann Ladwig |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 400 S Townline Rd, Wautoma, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578207130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 11905-33 (Wisconsin) | Primary |
| Entity Name | Behavioral Health Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831442359 PECOS PAC ID: 8628409885 Enrollment ID: O20200504002000 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Ann Ladwig, PMHNP 400 S Townline Rd, Wautoma, WI 54982-6922 Ph: (800) 942-5330 | Lisa Ann Ladwig, PMHNP 400 S Townline Rd, Wautoma, WI 54982-6922 Ph: (800) 942-5330 |
Amy Schoenoff, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 S Townline Rd, Wautoma, WI 54982 Phone: 920-787-5514 Fax: 920-787-4737 | |
Paige Dorsey, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 S Townline Rd, Wautoma, WI 54982 Phone: 920-787-5514 Fax: 920-787-4737 | |
Jennilee Hill, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 S. Townline Rd, Wautoma, WI 54982 Phone: 920-787-5514 Fax: 920-787-4737 | |
Heather Jean Greiling, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 E Division St, Wautoma, WI 54982 Phone: 920-787-6900 | |
Mrs. Rosanne Elaine Lowrie, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 S Townline Rd, Wautoma, WI 54982 Phone: 920-787-5514 Fax: 920-787-4737 |