Mrs Raeann Wichlacz, CADC III - Medicare Counselor in Abbotsford, WI

Mrs Raeann Wichlacz, CADC III is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Abbotsford, Wisconsin. Her current practice location is 106 Galvin Road, Abbotsford, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (175) 223-0480.

Mrs Raeann Wichlacz is licensed to practice in Wisconsin (license number 11042) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1942253315.

Contact Information

Mrs Raeann Wichlacz, CADC III
106 Galvin Road,
Abbotsford, WI 54405
(175) 223-0480
(715) 223-1611

Healthcare Provider's Profile

Full NameMrs Raeann Wichlacz
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location106 Galvin Road, Abbotsford, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1942253315
  • Provider Enumeration Date: 05/18/2006
  • Last Update Date: 07/09/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9032269030
  • Enrollment ID: I20240304001459

Medical Identifiers

Medical identifiers for Mrs Raeann Wichlacz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942253315NPI-NPPES
39380400MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 11042 (Wisconsin)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Raeann Wichlacz allows following entities to bill medicare on her behalf.
Entity NameRaeann Wichlacz
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508840992
PECOS PAC ID: 3678623675
Enrollment ID: O20090612000495

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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. Mrs Raeann Wichlacz is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Raeann Wichlacz, CADC III
106 Galvin Road, P.o. Box 447,
Abbotsford, WI 54405

Ph: (175) 223-0480
Mrs Raeann Wichlacz, CADC III
106 Galvin Road,
Abbotsford, WI 54405

Ph: (175) 223-0480

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Counselor in Abbotsford, WI

Trista Holly Raycher, MS
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 106 Galvin Rd, Abbotsford, WI 54405
Phone: 715-223-0480    
Ms. Judith Anne Davis, CADC-D
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 106 Galvin Road, Abbotsford, WI 54405
Phone: 715-223-0480    Fax: 715-223-1611
Lanny Parker, CSAC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 106 Galvin Road, Abbotsford, WI 54405
Phone: 715-223-0480    Fax: 715-223-1611
Jaclene Elizabeth Newell, M.S.
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 106 Galvin Rd., P.o. 447, Abbotsford, WI 54405
Phone: 715-223-0480    Fax: 715-223-1611
Brittany Koplitz, LPC-IT, SAC-IT
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 106 Galvin Road, Abbotsford, WI 54405
Phone: 715-223-0480    
Ted Obermann, CSAC CS-IT
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 106 Galvin Rd., Abbotsford, WI 54405
Phone: 715-223-0480    

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