Gregory Dezell, LCSW | |
1190 Prairie St, Prairie Du Sac, WI 53578-2044 | |
(608) 370-6551 | |
Not Available |
Full Name | Gregory Dezell |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 7 Years |
Location | 1190 Prairie St, Prairie Du Sac, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699368050 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 9553-123 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Psychology Clinic Inc. | 0143216747 | 9 |
Entity Name | Psychology Clinic Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336222769 PECOS PAC ID: 0143216747 Enrollment ID: O20040421000182 |
Mailing Address | Practice Location Address |
---|---|
Gregory Dezell, LCSW 310 N Midvale Blvd Ste 202, Madison, WI 53705-3265 Ph: (608) 852-8601 | Gregory Dezell, LCSW 1190 Prairie St, Prairie Du Sac, WI 53578-2044 Ph: (608) 370-6551 |
Richard Zabriskie, MSW, LCSW, CADC Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 560 4th Sreet, Prairie Du Sac, WI 53578 Phone: 608-643-3663 Fax: 608-643-5014 | |
Suzannah E Oakes, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 50 Prairie Ave, Prairie Du Sac, WI 53578 Phone: 608-643-3147 Fax: 608-268-9780 | |
Mrs. Kelsey M Brady, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 260 26th St, Prairie Du Sac, WI 53578 Phone: 608-643-7587 | |
Lori E King, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1190 Prairie St, Prairie Du Sac, WI 53578 Phone: 608-370-6551 Fax: 608-370-6554 |