Mr Mical Gustave Schaffer, LCSW | |
400 W River Dr, West Bend, WI 53090-1567 | |
(262) 338-2717 | |
Not Available |
Full Name | Mr Mical Gustave Schaffer |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 15 Years |
Location | 400 W River Dr, West Bend, 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 |
---|---|---|---|
1043571771 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 7873-123 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Affiliated Clinical Services Inc | 0244124899 | 18 |
Entity Name | Affiliated Clinical Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851473698 PECOS PAC ID: 0244124899 Enrollment ID: O20040212000835 |
Mailing Address | Practice Location Address |
---|---|
Mr Mical Gustave Schaffer, LCSW 111 E Washington St, West Bend, WI 53095-2571 Ph: (262) 338-2717 | Mr Mical Gustave Schaffer, LCSW 400 W River Dr, West Bend, WI 53090-1567 Ph: (262) 338-2717 |
Tiffany Dubey, LCSW, SAC-IT Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 111 E Washington St, West Bend, WI 53095 Phone: 262-338-2717 | |
Abby Louise Janssen, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 111 E Washington St, West Bend, WI 53095 Phone: 262-338-2717 Fax: 262-338-9767 | |
Diana Azimov, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1622 Chestnut St, West Bend, WI 53095 Phone: 262-306-9800 | |
Ryanne Beth Wendt, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 111 E Washington St, West Bend, WI 53095 Phone: 262-338-2717 | |
Mrs. Amy R. Schumann, LSCW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1622 Chestnut St, West Bend, WI 53095 Phone: 262-338-9498 | |
Stephanie Gudmunsen, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 333 E Washington St, Suite 2000, West Bend, WI 53095 Phone: 262-335-4545 Fax: 262-335-6827 |