Spectrum Behavioral Health Llc - Medicare Mental Health Clinic in Green Bay, WI

Spectrum Behavioral Health Llc is a medicare enrolled mental health clinic (Community/behavioral Health) in Green Bay, Wisconsin. The current practice location for Spectrum Behavioral Health Llc is 1496 Bellevue St, Suite 101, Green Bay, Wisconsin. For appointments, you can reach them via phone at (920) 784-2644. The mailing address for Spectrum Behavioral Health Llc is 1496 Bellevue St, Suite 101, Green Bay, Wisconsin and phone number is (920) 784-2644.

Spectrum Behavioral Health Llc is licensed to practice in Wisconsin (license number 4151-125). The clinic also participates in the medicare program and its NPI number is 1053718890. 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) 784-2644.

Contact Information

Spectrum Behavioral Health Llc
1496 Bellevue St
Suite 101
Green Bay
WI 54311-4205
(920) 784-2644
Not Available

Mental Health Clinic Profile

Full NameSpectrum Behavioral Health Llc
SpecialityCommunity/Behavioral Health
Location1496 Bellevue St, Green Bay, Wisconsin
Authorized Official Name and PositionLinda A Carmody (CLINIC DIRECTOR)
Authorized Official Contact9207842646
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Spectrum Behavioral Health Llc
1496 Bellevue St
Suite 101
Green Bay
WI 54311-4205

Ph: (920) 784-2644
Spectrum Behavioral Health Llc
1496 Bellevue St
Suite 101
Green Bay
WI 54311-4205

Ph: (920) 784-2644

NPI Details:

NPI Number1053718890
Provider Enumeration Date11/21/2014
Last Update Date06/17/2015

Medicare PECOS Information:

Medicare PECOS PAC ID2961713359
Medicare Enrollment IDO20150626000303

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› Verified 3 days ago

Medical Identifiers

Medical identifiers for Spectrum Behavioral Health Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053718890NPI-NPPES
100043151MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
251S00000XCommunity/behavioral Health 4151-125 (Wisconsin)Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health 1826-33 (Wisconsin)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Spectrum Behavioral Health Llc acts as a billing entity for following providers:
Provider NameGlenda A Mcconnell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316011653
PECOS PAC ID: 6800827494
Enrollment ID: I20070313000293

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Provider NameJames J Balza
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1720242555
PECOS PAC ID: 1658417373
Enrollment ID: I20091012000216

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Provider NameDebra L Benishek
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164441580
PECOS PAC ID: 9931247194
Enrollment ID: I20091109000123

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Provider NameAllison E Pohlman
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1184922940
PECOS PAC ID: 9133340086
Enrollment ID: I20141020000134

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Provider NameCarrie B Ison
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1083039259
PECOS PAC ID: 3971874751
Enrollment ID: I20170814000622

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› Verified 3 days ago

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› Verified 3 days ago

Community/Behavioral Health in Green Bay, WI

Goodine Counseling Ltd
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1050 Circle Dr Ste B, Green Bay, WI 54304
Phone: 920-660-9797    
Thriveworks Clinical - Wisconsin
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 2920 S Webster Ave Ste E, Green Bay, WI 54301
Phone: 855-284-7483    
Gam Behavioral Health Services Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 3021 Holmgren Way, Suite 203a, Green Bay, WI 54304
Phone: 920-339-9307    Fax: 920-339-9374
Goodine Counseling Ltd
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2300 Riverside Dr, Green Bay, WI 54301
Phone: 920-362-0447    
Healthy Hope Counseling Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 916 Willard Dr Ste 136, Green Bay, WI 54304
Phone: 920-328-0717    Fax: 920-328-0715
Julie Feld And Associates Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 120 S Webster Ave, Green Bay, WI 54301
Phone: 920-884-8138    Fax: 920-884-8148

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