Jerry Lee Halverson, MD | |
34700 Valley Rd, Oconomowoc, WI 53066-4500 | |
(262) 646-4411 | |
(262) 646-1076 |
Full Name | Jerry Lee Halverson |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 34700 Valley Rd, Oconomowoc, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1952360422 | NPI | - | NPPES |
Entity Name | Rogers Memorial Hospital, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053329581 PECOS PAC ID: 3476455809 Enrollment ID: O20040124000371 |
Mailing Address | Practice Location Address |
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Jerry Lee Halverson, MD 34700 Valley Rd, Oconomowoc, WI 53066-4500 Ph: (262) 646-4411 | Jerry Lee Halverson, MD 34700 Valley Rd, Oconomowoc, WI 53066-4500 Ph: (262) 646-4411 |
Andrew John Schroettner, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 888 Thackeray Trail, #211, Oconomowoc, WI 53066 Phone: 262-567-1122 Fax: 262-567-1481 | |
Erik J Ulland, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 34700 Valley Rd, Oconomowoc, WI 53066 Phone: 262-646-4411 | |
Elizabeth A Hamlin, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 34700 Valley Rd, Oconomowoc, WI 53066 Phone: 262-646-4411 | |
Mark H Rossing, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 888 Thackeray Trail, #211, Oconomowoc, WI 53066 Phone: 262-567-1122 Fax: 262-567-1481 | |
Cuong Tieu, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 34700 Valley Rd, Oconomowoc, WI 53066 Phone: 262-646-1391 Fax: 262-646-1393 | |
Nicholas Edward Mahoney, Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 34700 Valley Rd, Oconomowoc, WI 53066 Phone: 262-646-4411 | |
Mr. Peter Mathew Lake, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 34700 Valley Rd, Rogers Memorial Hospital, Oconomowoc, WI 53066 Phone: 262-646-4411 |