TERRENCE CHRISTOPHER BOLGER (NPI# 1750768065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750768065 |
Entity Type | Individual |
Full Name | TERRENCE CHRISTOPHER BOLGER |
Practice Address |
1541 Annex Road Jefferson WI 53549 |
Mailing Address |
1541 Annex Rd Jefferson WI 53549-9803 |
Practice Telephone | 9206748799 |
Practice Fax Number | 9206742359 |
Mailing Telephone | 9206748799 |
Mailing Fax Number | 9206742359 |
Enumeration Date | 2015-05-06 |
Last Update Date | 2015-05-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
Street Address |
1541 ANNEX ROAD |
City | JEFFERSON |
State | WI |
Zip Code | 53549 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073762191 | Katherine Sue Drechsler | Counselor | 1541 Annex Road, Jefferson, WI 53549 | 2008-09-12 |
1144579269 | Jenna Marie Froehlich | Speech-Language Pathologist | 1541 Annex Road, Jefferson, WI 53549 | 2012-09-05 |
1518263946 | Heather Lynn Dempsey | Social Worker | 1541 Annex Road, Jefferson, WI 53549-9803 | 2011-02-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740804913 | Anna E Warzala | Licensed Practical Nurse | Sunset Ridge Jefferson, 826 E. Reinel Street, Jefferson, Wi 53549, Jefferson, WI 53549 | 2020-06-03 |
1023428083 | Mary Beth Breunig | Occupational Therapist | 206 South Taft Avenue, Jefferson, WI 53549 | 2014-04-30 |
1841639952 | Debra Lee Schoenike | Licensed Practical Nurse | 610 S Main Street, Jefferson, WI 53549 | 2013-06-21 |
1497960645 | Family Resources Associates Inc | Counselor | 248 S Wisconsin Drive, Jefferson, WI 53549 | 2007-05-11 |
1386707529 | Todd G Goldbeck | Physical Therapist | 1515 Highway 26 South, Jefferson, WI 53549 | 2006-12-19 |
1982780813 | Sport & Spine Clinic of Fort Atkinson Limited Partnership | Physical Therapist | 222 S Wisconsin Drive, Suite 3, Jefferson, WI 53549 | 2006-10-31 |
1033202528 | Marie Ann Maxwell-jones | Occupational Therapist | N3995 Annex Road, Jefferson, WI 53549 | 2006-10-02 |
1447216551 | Diane Mary Voelker | Registered Nurse | 224 Connelly D R, Jefferson, WI 53549 | 2006-04-26 |
1063477065 | Cynthia Lynn Miller | Registered Nurse | W4949 Streim Lane, Jefferson, WI 53549 | 2006-04-20 |
1275614919 | Jefferson County | Clinic/Center | 1541 Annex Rd, Jefferson, WI 53549 | 2006-10-18 |
Find all providers in zip 53549 |
Taxonomy Code | 171M00000X |
Grouping | Other Service Providers |
Classification | Case Manager/Care Coordinator |
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396238721 | Treasure S Lucas | Case Manager/Care Coordinator | 827 Causeway Blvd Ste 206, Jefferson, LA 70121 | 2018-06-11 |
1780131995 | Kimberly George | Case Manager/Care Coordinator | 261 Ma County Road 3430, Jefferson, TX 75657 | 2016-09-06 |
1467070086 | Maureen Browning | Case Manager/Care Coordinator | 1541 Annex Rd, Jefferson, WI 53549-9803 | 2020-07-09 |
1114544806 | Lindsey Leigh Slatter | Case Manager/Care Coordinator | 1541 Annex Rd, Jefferson, WI 53549-9803 | 2020-06-29 |
1629694625 | Darci Ann Wubben | Case Manager/Care Coordinator | 1541 Annex Rd, Jefferson, WI 53549-9803 | 2020-06-25 |
1437703238 | Tonya Runyard | Case Manager/Care Coordinator | 1541 Annex Rd, Jefferson, WI 53549-9803 | 2019-07-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912508730 | Andrew Vale | Case Manager/Care Coordinator | 503 E Ives St Ste 201, Marshfield, WI 54449-1577 | 2020-11-06 |
1275132946 | Alice M Franks-gray | Case Manager/Care Coordinator | Esu/bayside/crisis Stabilization, 702 W Main Street, Madison, WI 53715-1424 | 2020-10-22 |
1134734338 | Alexis Young | Case Manager/Care Coordinator | 115 N 6th St Stop 1, Wausau, WI 54403-5519 | 2020-09-14 |
1750996518 | Prevale S Mclin | Case Manager/Care Coordinator | 6096 N Hopkins St, Milwaukee, WI 53209-3558 | 2020-09-09 |
1538771712 | Monet Smith | Case Manager/Care Coordinator | 5831 W Burleigh St, Milwaukee, WI 53210-1517 | 2020-08-19 |
1770195331 | Taylor Ann Halmstad | Case Manager/Care Coordinator | 1651 College Ave Apt 1, Stevens Point, WI 54481-3085 | 2020-08-17 |
1942811690 | Angelina Sheree Jones | Case Manager/Care Coordinator | 5248 N 26th St, Glendale, WI 53209-4927 | 2020-08-14 |
1174131973 | Dakisha Delaney | Case Manager/Care Coordinator | 2456 N 41st St, Milwaukee, WI 53210-2932 | 2020-07-17 |
1528686342 | Dejuana Farmer | Case Manager/Care Coordinator | 2868 N 41st St, Milwaukee, WI 53210-1810 | 2020-07-08 |
1598381915 | Errica Braun | Case Manager/Care Coordinator | 4 N Hancock St, Madison, WI 53703-2802 | 2020-06-22 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.