Ms Pamela Faye Derby, MS | |
2727 N Grandview Blvd Ste 203, Waukesha, WI 53188-1671 | |
(262) 547-5567 | |
(262) 421-5477 |
Full Name | Ms Pamela Faye Derby |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2727 N Grandview Blvd Ste 203, Waukesha, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508081555 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 3576-123 (Wisconsin) | Primary |
Entity Name | Family Service Agency Of Waukesha County Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568404671 PECOS PAC ID: 0648168823 Enrollment ID: O20040309000638 |
Mailing Address | Practice Location Address |
---|---|
Ms Pamela Faye Derby, MS 2727 N Grandview Blvd Ste 203, Waukesha, WI 53188-1671 Ph: (262) 547-5567 | Ms Pamela Faye Derby, MS 2727 N Grandview Blvd Ste 203, Waukesha, WI 53188-1671 Ph: (262) 547-5567 |
Ms. Natasha Jean Pinkerton, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 725 American Ave, Waukesha, WI 53188 Phone: 262-928-1000 | |
Mr. Jerome Michael Loberg, M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1501 Airport Rd., Waukesha, WI 53188 Phone: 262-548-7930 | |
Cindy M Sywyk, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 721 American Ave, Suite 501, Waukesha, WI 53188 Phone: 262-928-2396 Fax: 262-544-1213 | |
Gary Swan, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2607 N Grandview Blvd, Suite 104, Waukesha, WI 53188 Phone: 262-446-9981 Fax: 262-446-9983 | |
Robert K Porter, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 721 American Ave, Suite 501, Waukesha, WI 53188 Phone: 262-928-2396 Fax: 262-544-1213 | |
Susan L Driscoll, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1501 Airport Rd, Waukesha, WI 53188 Phone: 262-548-7950 | |
Marilyn Tauscher, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 721 American Ave, Ste 501, Waukesha, WI 53188 Phone: 262-928-4036 |