AMS OF WISCONSIN, LLC
NPI 1003150004
Clinic/Center - Methadone in Onalaska, WI

NPI Status: Active since November 15, 2012

Contact Information

9532 E 16 FRONTAGE RD
SUITE 100
ONALASKA, WI
ZIP 54650
Phone: (608) 783-0506
Fax: (608) 783-0242

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  • Organization
  • Clinic/Center
  • Methadone
  • Accepts Insurance
  • CLIA Number: 52D2050336
  • CLIA Cert. Type: Other - NARCOTIC TREATMENT PROG.
  • CLIA Exp. Date: 11-26-2026

About AMS OF WISCONSIN, LLC

This page provides the complete NPI Profile along with additional information for Ams Of Wisconsin, Llc, a provider established in Onalaska, Wisconsin operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1003150004 assigned on November 2012. The practitioner's primary taxonomy code is 261QM2800X with license number 2971 (WI). The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Mr. Michael Errico Ms (President)

NPI
1003150004
Provider Name
AMS OF WISCONSIN, LLC
Entity Type
Organization
Location Address
9532 E 16 FRONTAGE RD SUITE 100 ONALASKA, WI 54650
Location Phone
(608) 783-0506
Location Fax
(608) 783-0242
Mailing Address
9532 E 16 FRONTAGE RD SUITE 100 ONALASKA, WI 54650
Mailing Phone
(608) 783-0506
Mailing Fax
(608) 783-0242
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-15-2012
Last Update Date
09-24-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Methadone

Taxonomy Code
261QM2800X
Type
Ambulatory Health Care Facilities
License No.
2971
License State
WI
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Pathway/Lean HSA (+ Incentives) - HMO
  • Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
  • Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Priority/Lean HSA (+ Incentives) - HMO
  • Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Priority/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Gold Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Heart Healthy Bronze Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - HMO
  • Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
  • Anthem Heart Healthy Bronze Priority/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - HMO
  • Anthem Silver Pathway/Lean 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
  • Anthem Silver Pathway/Lean 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE $7250 HSA - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $9200 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD $2500 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $2500 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $500 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE (DENTAL & VISION) $500 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER $0 DED FLAT RX COPAYS - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER $7000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $0 DED FLAT RX COPAYS - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $7000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER STANDARD EASY PRICING - HMO
  • QUARTZ ONE ACHIEVE BRONZE (DENTAL & VISION) $9100 DED FLAT RX COPAYS - IL - HMO
  • QUARTZ ONE ACHIEVE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - IL - HMO
  • Enrich $1,500 - 25% - HMO
  • Enrich $3,500 - 30% - HMO
  • Enrich $4,100 HDHP - HMO
  • Enrich $5,000 - 40% - HMO
  • Enrich $6,200 HDHP - HMO
  • Enrich $7,500 - HMO
  • Enrich $9,200 - HMO
  • Enrich Protection - HMO
  • Premier $1,500 - 25% - HMO
  • Premier $3,500 - 30% - HMO
  • Premier $4,100 HDHP - HMO
  • Premier $5,000 - 40% - HMO
  • Premier $6,200 HDHP - HMO
  • Premier $7,500 - HMO
  • Premier $9,200 - HMO
  • Premier Protection - HMO
  • Select $1,500 - 25% - EPO
  • Select $3,500 - 30% - EPO
  • Select $4,100 HDHP - EPO
  • Select $5,000 - 40% - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MICHAEL ERRICO MS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(608) 783-0506

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm

Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.

This service was performed 492 times for 16 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
52D2050336
Facility Type
Other - NARCOTIC TREATMENT PROG.
Certificate Effective Date
November 27, 2024
Certificate Expiration Date
November 26, 2026
Laboratory Director
DR. TEDDY L. THOMPSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ams Of Wisconsin, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for AMS OF WISCONSIN, LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003150004
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200325000
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 2 + 5 + 0 + 0 + 0 + 24 = 36
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 36 = 44

The NPI number 1003150004 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1396180691MS. MELISSA NORTHWOOD RN
Individual
Registered Nurse (Addiction (Substance Use Disorder))9532 E 16 FRONTAGE RD SUITE 100
ONALASKA, WI 54650
(608) 783-0506
1831539097 JUSTIN TYSON ROONEY CSAC
Individual
Counselor (Addiction (Substance Use Disorder))9532 E 16 FRONTAGE RD SUITE 100
ONALASKA, WI 54650
(608) 783-0506
1558793620MISS JANET LYNN VERTHEIN SAC, PS
Individual
Counselor (Addiction (Substance Use Disorder))9532 E 16 FRONTAGE RD
ONALASKA, WI 54650
(608) 783-0506
1578975447 JONATHAN SABIN CSAC
Individual
Counselor (Addiction (Substance Use Disorder))9532 E 16 FRONTAGE RD SUITE 100
ONALASKA, WI 54650
(608) 783-0506
1568879971AMS OF WISCONSIN
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))9532 E 16 FRONTAGE RD SUITE 100
ONALASKA, WI 54650
(608) 783-0506
1598172918 GREGGORY SCHARF SAC-IT
Individual
Counselor (Addiction (Substance Use Disorder))9532 E 16 FRONTAGE RD STE. 100
ONALASKA, WI 54650
(608) 783-0506
1952773681 LINDSAY ANDERSON
Individual
Registered Nurse (Administrator)9532 E 16 FRONTAGE RD 100
ONALASKA, WI 54650
(608) 783-0506
1649636846 HANNAH FRAVEL RN
Individual
Registered Nurse (Addiction (Substance Use Disorder))9532 E 16 FRONTAGE RD STE. 100
ONALASKA, WI 54650
(608) 783-0506
1851752208 ANDREA GUNDERSON RN
Individual
Registered Nurse (Addiction (Substance Use Disorder))9532 E 16 FRONTAGE RD STE. 100
ONALASKA, WI 54650
(608) 783-0506
1326400722 JAMES KERCKHOVE
Individual
Counselor (Addiction (Substance Use Disorder))9532 E 16 FRONTAGE RD STE. 100
ONALASKA, WI 54650
(608) 783-0506
1235591645 JESSICA TOMTEN
Individual
Licensed Practical Nurse9532 E 16 FRONTAGE RD STE. 100
ONALASKA, WI 54650
(608) 783-0506
1134672678 RACHELLE MERTES RN
Individual
Registered Nurse (Addiction (Substance Use Disorder))9532 E 16 FRONTAGE RD STE. 100
ONALASKA, WI 54650
(608) 783-0506
1801340211 NICOLE HANSON
Individual
Registered Nurse (Addiction (Substance Use Disorder))9532 E 16 FRONTAGE RD STE. 100
ONALASKA, WI 54650
(608) 783-0506
1548718893 DANIEL GERONIME
Individual
Registered Nurse (Addiction (Substance Use Disorder))9532 E 16 FRONTAGE RD STE. 100
ONALASKA, WI 54650
(608) 783-0506
1649714759 KATHERINE MULLIGAN
Individual
Counselor (Addiction (Substance Use Disorder))9532 E 16 FRONTAGE RD STE. 100
ONALASKA, WI 54650
(608) 783-0506
1477087542 KIMBERLY HANSON
Individual
Counselor (Addiction (Substance Use Disorder))9532 E 16 FRONTAGE RD STE. 100
ONALASKA, WI 54650
(608) 783-0506
1093259103 TRACY WEBER
Individual
Registered Nurse (Addiction (Substance Use Disorder))9532 E 16 FRONTAGE RD STE. 100
ONALASKA, WI 54650
(608) 783-0506
1689181356 STEFANIE CLEMENTS RN
Individual
Registered Nurse (Addiction (Substance Use Disorder))9532 E 16 FRONTAGE RD
ONALASKA, WI 54650
(608) 783-0506
1023512878 PATRICIA OLSON
Individual
Registered Nurse (Addiction (Substance Use Disorder))9532 E 16 FRONTAGE RD
ONALASKA, WI 54650
(608) 783-0506
1538651260 AMY MILLER RN
Individual
Registered Nurse (Addiction (Substance Use Disorder))9532 E 16 FRONTAGE RD
ONALASKA, WI 54650
(608) 783-0506

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003150004, enumerated in the NPI registry as an "organization" on November 15, 2012

The provider is located at 9532 E 16 Frontage Rd Suite 100 Onalaska, Wi 54650 and the phone number is (608) 783-0506

This medical organization specializes in Clinic/Center with taxonomy code 261QM2800X with a focus in Methadone

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Molina. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The most common procedures or services performed by this practitioner are: Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm.

The provider's CLIA number is 52D2050336 for a "other - narcotic treatment prog." facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on November 15, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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