Ilva E Van Valkenburgh, MD | |
305 W Silver Spring Dr, Glendale, WI 53217 | |
(414) 885-0080 | |
(414) 885-0081 |
Full Name | Ilva E Van Valkenburgh |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 305 W Silver Spring Dr, Glendale, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659453405 | NPI | - | NPPES |
K400278502 | Other | WI | MEDICARE PTAN |
32302400 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 38221020 (Wisconsin) | Primary |
Entity Name | Great Oaks Consulting Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669116810 PECOS PAC ID: 4082078944 Enrollment ID: O20230911001892 |
Mailing Address | Practice Location Address |
---|---|
Ilva E Van Valkenburgh, MD 305 W Silver Spring Dr, Glendale, WI 53217 Ph: (414) 885-0080 | Ilva E Van Valkenburgh, MD 305 W Silver Spring Dr, Glendale, WI 53217 Ph: (414) 885-0080 |
Virginia M. Linabury, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 250 W Coventry Ct, Suite 209, Glendale, WI 53217 Phone: 414-351-7726 Fax: 414-351-7721 | |
Dr. Larry Sprung, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5900 N Port Washington Rd, Suite 230, Glendale, WI 53217 Phone: 414-962-4048 Fax: 414-962-4052 | |
Dr. Matthew David Krasucki, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1720 W Florist Ave Unit 203, Glendale, WI 53209 Phone: 414-649-7909 | |
Dr. David W Schulz, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5900 N Port Washington Rd, Suite 230, Glendale, WI 53217 Phone: 414-962-4048 Fax: 414-962-4052 |