Power For Change, Llc - Medicare Mental Health Clinic in Green Bay, WI

Power For Change, Llc is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Green Bay, Wisconsin. The current practice location for Power For Change, Llc is 123 N Oakland Ave, Green Bay, Wisconsin. For appointments, you can reach them via phone at (920) 770-4088. The mailing address for Power For Change, Llc is 123 N Oakland Ave, Green Bay, Wisconsin and phone number is (920) 770-4088.

Power For Change, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1124322284. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (920) 770-4088.

Contact Information

Power For Change, Llc
123 N Oakland Ave
Green Bay
WI 54303-2831
(920) 770-4088
(920) 496-7922

Mental Health Clinic Profile

Full NamePower For Change, Llc
SpecialityClinic/Center
Location123 N Oakland Ave, Green Bay, Wisconsin
Authorized Official Name and PositionSteve Anthony Shefchik (CLINICAL DIRECTOR)
Authorized Official Contact9207704088
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Power For Change, Llc
123 N Oakland Ave
Green Bay
WI 54303-2831

Ph: (920) 770-4088
Power For Change, Llc
123 N Oakland Ave
Green Bay
WI 54303-2831

Ph: (920) 770-4088

NPI Details:

NPI Number1124322284
Provider Enumeration Date01/04/2011
Last Update Date11/16/2021
Certification Date11/16/2021

Medicare PECOS Information:

Medicare PECOS PAC ID0840571253
Medicare Enrollment IDO20161223000022

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Medical Identifiers

Medical identifiers for Power For Change, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124322284NPI-NPPES
100013205MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Power For Change, Llc acts as a billing entity for following providers:
Provider NameVanessa Blanchette
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1063834612
PECOS PAC ID: 2062703523
Enrollment ID: I20160614001789

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