Brian Keith Falck, LCSW is a
Counselor - Mental Health based in Westboro, Wisconsin. Brian Keith Falck is licensed to practice in Wisconsin (license number 1996-123) and his current practice location is
N8809 Bus Hwy 13, Westboro, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 475-7668.
NPI number for Brian Keith Falck is 1134423445 and his current mailing address is N8809 Bus Hwy 13, Westboro, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134423445.
Healthcare Provider's Profile
Full Name | Brian Keith Falck |
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Gender | Male |
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Speciality | Counselor - Mental Health |
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Location | N8809 Bus Hwy 13, Westboro, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134423445
- Provider Enumeration Date: 12/29/2010
- Last Update Date: 08/20/2013
Medical Identifiers
Medical identifiers for Brian Keith Falck such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134423445 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 1996-123 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brian Keith Falck is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Brian Keith Falck, LCSW N8809 Bus Hwy 13, Westboro, WI 54490-9444 Ph: (920) 475-7668 | Brian Keith Falck, LCSW N8809 Bus Hwy 13, Westboro, WI 54490-9444 Ph: (920) 475-7668 |
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