County of Ozaukee

PAC ID

5698737450The PECOS associate control ID: one enrolled organization, which may hold several NPIs

Provider type

Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)

Enrolled in

WI

Enrollments

3

Group size

5 cliniciansAs Care Compare reports it

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice locations

3In 2 places

Enrollment records 3

These NPI records belong to the same enrolled organization. Each has its own page.

• County of Ozaukee

  • Skilled Nursing Facility
  • Cedarburg, WI
  • NPI 1427055920
• County of Ozaukee

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Port Washington, WI
  • NPI 1609867001
• County of Ozaukee

  • Public Health or Welfare Agency
  • Port Washington, WI
  • NPI 1740475250

Clinicians who reassign their Medicare benefits to this group (7) or whom Care Compare lists as members (5).

• Samantha Gregory Dagenhardt, RN, MS, MSN, PMHCNS-

  • Psychiatric/Mental Health Nurse Practitioner
  • Port Washington, WI
  • NPI 1659642841
• Jessica Ollman

  • Social Worker
  • Port Washington, WI
  • NPI 1073859260
• Nicole Olson, LCSW, CSAC

  • Clinical Social Worker
  • Port Washington, WI
  • NPI 1780032607
• Laura Owens, MSW, LCSW, CADC III

  • Clinical Social Worker
  • Port Washington, WI
  • NPI 1538182266
• Suzanne K Ronquillo, MA, LPC, LMFT-IT

  • Marriage & Family Therapist
  • Port Washington, WI
  • NPI 1306270756
• Rachael Sheets, LCSW

  • Clinical Social Worker
  • Port Washington, WI
  • NPI 1659155919
• Carly Wallner

  • Mental Health Counselor
  • Port Washington, WI
  • NPI 1801525795

• 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.