| Jennifer R Gruba, PHD | |
|
2901 Hunters Trl, Portage, WI 53901-3403 | |
| (608) 742-5518 | |
| (608) 742-4087 |
| Full Name | Jennifer R Gruba |
|---|---|
| Gender | Female |
| Speciality | Clinical Psychologist |
| Experience | 3 Years |
| Location | 2901 Hunters Trl, Portage, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033413646 | NPI | - | NPPES |
| 1033413646 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 5149-057 (Wisconsin) | Primary |
| 106H00000X | Marriage & Family Therapist | 867-124 (Wisconsin) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Service Associates, Sc | 8426948746 | 34 |
| Entity Name | Community Service Associates, SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780610923 PECOS PAC ID: 8426948746 Enrollment ID: O20040318001251 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer R Gruba, PHD 710 N. Webb Ave, Reedsburg, WI 53959 Ph: (608) 524-5151 | Jennifer R Gruba, PHD 2901 Hunters Trl, Portage, WI 53901-3403 Ph: (608) 742-5518 |
Michael J Ostrowski, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2901 Hunters Trl, Portage, WI 53901 Phone: 608-742-5518 Fax: 608-742-4087 |
Lynn P Hyland, PHD Psychologist Medicare: May Accept Medicare Assignments Practice Location: 2901 Hunters Trl, Portage, WI 53901 Phone: 608-742-5518 Fax: 608-742-4087 |
Kelsey Stange, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2925 Columbia Dr, Portage, WI 53901 Phone: 608-742-9100 |
Dr. Jill Dickson-baures, PSY. D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2901 Hunters Trl, Portage, WI 53901 Phone: 087-425-5186 Fax: 608-742-4087 |
Lynne Beth Cummings, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 2901 Hunters Trl, Portage, WI 53901 Phone: 608-745-4108 Fax: 608-742-4087 |
Ms. Lori N Greer, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2639 New Pinery Rd, Suite 1, Portage, WI 53901 Phone: 608-742-5020 Fax: 608-742-3641 |
Ms. Uliana V Skibicky, PHD, RD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2901 Hunters Trl, Portage, WI 53901 Phone: 608-742-5518 Fax: 608-742-4087 |