Dr Alla Y Likhterev, MD | |
Winnebago Mental Health Institute 1300 South Drive, Winnebago, WI 54985-0009 | |
(920) 235-4910 | |
(920) 236-2931 |
Full Name | Dr Alla Y Likhterev |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | Winnebago Mental Health Institute 1300 South Drive, Winnebago, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295896454 | NPI | - | NPPES |
32282700 | Medicaid | WI | |
37144 | Other | WI | LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 37144 (Wisconsin) | Primary |
Entity Name | State Of Wisconsin |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437253648 PECOS PAC ID: 9234181751 Enrollment ID: O20050214000153 |
Mailing Address | Practice Location Address |
---|---|
Dr Alla Y Likhterev, MD Winnebago Mental Health Institute1300 South Drive, 1300 South Drive, Winnebago, WI 54985-0009 Ph: (920) 235-4910 | Dr Alla Y Likhterev, MD Winnebago Mental Health Institute 1300 South Drive, Winnebago, WI 54985-0009 Ph: (920) 235-4910 |
Bruce E Weffenstette, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1300 South Dr., Winnebago, WI 54985 Phone: 920-235-4910 Fax: 920-236-2931 | |
Louis M Fulton, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1300 South Drive, Winnebago Mental Health Information, Winnebago, WI 54985 Phone: 920-235-4910 Fax: 920-235-2931 | |
Dr. Kimberly Sue Hoenecke, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1300 South Drive, Winnebago, WI 54985 Phone: 920-235-4910 | |
Ather S Siddiqui, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1300 South Dr., Winnebago, WI 54985 Phone: 920-235-4910 Fax: 920-236-2931 | |
Dr. Alexander M Scharko, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1300 South Drive, Winnebago, WI 54985 Phone: 920-235-4910 Fax: 920-237-2053 | |
Dr. Marshall John Bales, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 1300 South Drive, Winnebago, WI 54985 Phone: 920-235-4910 Fax: 920-237-2043 |