Michael Derose, LCSW | |
3805b Spring St, Suite 320, Mount Pleasant, WI 53405-1641 | |
(262) 687-2222 | |
(262) 687-8611 |
Full Name | Michael Derose |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 14 Years |
Location | 3805b Spring St, Mount Pleasant, 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 |
---|---|---|---|
1295101574 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 8319 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension All Saints Hospital | Racine, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wheaton Franciscan Medical Group Inc | 8628980943 | 565 |
Entity Name | Ascension All Saints Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639123284 PECOS PAC ID: 4880504935 Enrollment ID: O20031104000055 |
Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
Mailing Address | Practice Location Address |
---|---|
Michael Derose, LCSW 3805b Spring St Ste 320, Mount Pleasant, WI 53405-1644 Ph: () - | Michael Derose, LCSW 3805b Spring St, Suite 320, Mount Pleasant, WI 53405-1641 Ph: (262) 687-2222 |
Stephani Diagne, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8800 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-633-3591 Fax: 262-633-2619 | |
Susan E Moore Schneider, MSW, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 4810 Northwestern Ave, Mount Pleasant, WI 53406 Phone: 262-637-9984 Fax: 262-637-9995 | |
Julie Dunham, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8400 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-884-4000 | |
Olivia M Floyd, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8800 Washington Ave Ste 100, Mount Pleasant, WI 53406 Phone: 262-633-3591 Fax: 262-633-2619 | |
James Scarpaci, MSW LCSW CADC III Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3805b Spring St, Suite 20, Mount Pleasant, WI 53405 Phone: 262-687-2222 Fax: 262-687-2495 | |
Janet Vannatta, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6929 Mariner Dr Ste D, Mount Pleasant, WI 53406 Phone: 262-672-6614 |