Mr Gerald Wistein, ICS, CSAC, MSW - Counselor in Monona, WI

Mr Gerald Wistein, ICS, CSAC, MSW is a Counselor - Addiction (substance Use Disorder) based in Monona, Wisconsin. Mr Gerald Wistein is licensed to practice in Wisconsin (license number 1541-132) and his current practice location is 300 Femrite Dr, Monona, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (608) 204-8491.

NPI number for Mr Gerald Wistein is 1073756623 and his current mailing address is 7538 Mid Town Rd Apt 101, Madison, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073756623.

Contact Information

Mr Gerald Wistein, ICS, CSAC, MSW
300 Femrite Dr,
Monona, WI 53716-3716
(608) 204-8491
Not Available

Healthcare Provider's Profile

Full NameMr Gerald Wistein
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location300 Femrite Dr, Monona, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1073756623
  • Provider Enumeration Date: 04/13/2009
  • Last Update Date: 06/08/2016

Medical Identifiers

Medical identifiers for Mr Gerald Wistein such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073756623NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 1541-132 (Wisconsin)Primary
104100000XSocial Worker 955-120 (Wisconsin)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Gerald Wistein is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Gerald Wistein, ICS, CSAC, MSW
7538 Mid Town Rd Apt 101,
Madison, WI 53719-3454

Ph: (434) 270-6015
Mr Gerald Wistein, ICS, CSAC, MSW
300 Femrite Dr,
Monona, WI 53716-3716

Ph: (608) 204-8491

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Phone: 414-202-9146    

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