County of Portage
A Medicare group practice based in Stevens Point, WI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7416843388), with 3 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 7416843388
- Provider type
- Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice
- Enrolled in
- WI
- Enrollments
- 2
- Group size
- 3 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 6
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20091021000024 | WI | Part B Supplier - Ambulance Service Supplier | 1154438885 |
| O20040226000624 | WI | Part B Supplier - Clinic/Group Practice | 1386720043 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
County of Portage
- Land Ambulance
- Stevens Point, WI
- NPI 1154438885
-
County of Portage
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Stevens Point, WI
- NPI 1386720043
Practice locations
- Stevens Point, WI4
- Plover, WI1
- Amherst, WI1
Clinicians 3
Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (3).
-
Wagdy A Khalil
- Psychiatry Physician
- Madison, WI
- NPI 1043507031
-
Aimee Yvonne Lehouillier, MSW, APSW
- Mental Health Counselor
- Hayward, WI
- NPI 1396042438
-
Bababo O Opaneye, MD
- Psychiatry Physician
- Stevens Point, WI
- NPI 1255621710
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.