County of Walworth
A Medicare group practice based in Elkhorn, WI: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 6002872835), with 15 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 6002872835
- Provider type
- Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice
- Enrolled in
- WI
- Enrollments
- 2
- Group size
- 11 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20041203000437 | WI | Part B Supplier - Clinic/Group Practice | 1588733307 |
| O20060801000462 | WI | Part A Provider - Skilled Nursing Facility | 1699767905 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
County of Walworth
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Elkhorn, WI
- NPI 1588733307
-
County of Walworth
- Skilled Nursing Facility
- Elkhorn, WI
- NPI 1699767905
-
County of Walworth
- State or Local Public Health Clinic/Center
- Elkhorn, WI
- NPI 1548348311
Practice locations
- Elkhorn, WI2
Clinicians 15
Clinicians who reassign their Medicare benefits to this group (15) or whom Care Compare lists as members (11).
-
Britt Van Asbach, LPC
- Counselor
- Elkhorn, WI
- NPI 1669043204
-
Rachel Leigh Gardetto, PMHNP-DNP
- Nurse Practitioner
- Elkhorn, WI
- NPI 1164132767
-
Kelly M Gustavson-Mattek, PSY.D.
- Psychologist
- Elkhorn, WI
- NPI 1750471314
-
Amy Michelle Hart, MSW, LCSW
- Clinical Social Worker
- Elkhorn, WI
- NPI 1992206635
-
Nicole E Heinrich, LCSW
- Clinical Social Worker
- Elkhorn, WI
- NPI 1447281779
-
Patric William Mattek, PHD
- Psychologist
- Oconomowoc, WI
- NPI 1477540243
-
Kristi Moriarity
- Nurse Practitioner
- Racine, WI
- NPI 1447642202
-
Lynda Nelson Elmudesi, LCSW
- Clinical Social Worker
- Elkhorn, WI
- NPI 1821256561
-
Anna Nusbaum, MD
- Psychiatry Physician
- Elkhorn, WI
- NPI 1396896445
-
Clayton Richard Peterson, LCSW
- Clinical Social Worker
- Elkhorn, WI
- NPI 1912662008
-
Kristi L Reynolds
- Clinical Social Worker
- Elkhorn, WI
- NPI 1154558591
-
Sarah Angelica Schmidt, LCSW
- Clinical Social Worker
- Elkhorn, WI
- NPI 1740802230
-
Jessica Marie Shipman, LPC
- Counselor
- Elkhorn, WI
- NPI 1215308150
-
Elaine Marie Sorem, MD
- Psychiatry Physician
- Elkhorn, WI
- NPI 1629167085
-
Emily Rose Vierling, LCSW
- Clinical Social Worker
- Elkhorn, WI
- NPI 1245944644
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.