County of Dodge
A Medicare group practice based in Juneau, WI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 2466475587), with 16 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 2466475587
- Provider type
- Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
- Enrolled in
- WI
- Enrollments
- 2
- Group size
- 10 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20060104000398 | WI | Part B Supplier - Clinic/Group Practice | 1871508515 |
| O20120425000814 | WI | Part B Supplier - Mass Immunization (Roster Biller Only) | 1811102049 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
County of Dodge
- Public Health or Welfare Agency
- Juneau, WI
- NPI 1811102049
-
County of Dodge
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Juneau, WI
- NPI 1871508515
Practice locations
- Juneau, WI2
Clinicians 16
Clinicians who reassign their Medicare benefits to this group (16) or whom Care Compare lists as members (10).
-
Jolene Rose Blaha, LCSW
- Clinical Social Worker
- Juneau, WI
- NPI 1194569384
-
Lisa N Bright, M.D.
- Child & Adolescent Psychiatry Physician
- Juneau, WI
- NPI 1093949760
-
Royle G Eenigenburg Jr., MD
- Psychiatry Physician
- Juneau, WI
- NPI 1104858836
-
Cori Fendt, LCSW, SAC-IT
- Clinical Social Worker
- West Allis, WI
- NPI 1942659685
-
Maisie Mae Floyd, LPC, SAC
- Professional Counselor
- Juneau, WI
- NPI 1750874822
-
Emily Ann Johnson, LCSW, SAC-IT
- Clinical Social Worker
- Juneau, WI
- NPI 1285107458
-
Jeanne Louther, LPC, SAC
- Professional Counselor
- Sun Prairie, WI
- NPI 1952764706
-
Donald O'Dell Matthews, L.P.C.
- Professional Counselor
- Juneau, WI
- NPI 1720179013
-
Mark Jonathan Oldenburg, LPC
- Professional Counselor
- Slinger, WI
- NPI 1275261935
-
Lindsay Radloff
- Clinical Social Worker
- Juneau, WI
- NPI 1982075289
-
Rebecca Michelle Radue, M.D.
- Psychiatry Physician
- Jefferson, WI
- NPI 1447678651
-
Tyler Thompson Smith, LCSW
- Clinical Social Worker
- Juneau, WI
- NPI 1093401929
-
Jennifer Lee Taylor, APNP
- Psychiatric/Mental Health Nurse Practitioner
- Juneau, WI
- NPI 1457786667
-
Jade Elizabeth Van Buren, MSW, LCSW
- Clinical Social Worker
- Juneau, WI
- NPI 1073283719
-
Rayna Vogel
- Professional Counselor
- Juneau, WI
- NPI 1508593427
-
Michelle Zapinski, APNP
- Nurse Practitioner
- Juneau, WI
- NPI 1841779238
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.