Judith Kisicki, MD | |
Behavioral Medicine Center, 721 American Avenue Suite 501, Waukesha, WI 53188 | |
(262) 928-2396 | |
(262) 544-1213 |
Full Name | Judith Kisicki |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | Behavioral Medicine Center, 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 |
---|---|---|---|
1306819925 | NPI | - | NPPES |
32060400 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 35592 (Wisconsin) | Primary |
Entity Name | Broadlawns Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467447508 PECOS PAC ID: 3678466166 Enrollment ID: O20040206000913 |
Mailing Address | Practice Location Address |
---|---|
Judith Kisicki, MD Behavioral Medicine Center, 721 American Avenue Suite 501, Waukesha, WI 53188 Ph: (262) 928-2396 | Judith Kisicki, MD Behavioral Medicine Center, 721 American Avenue Suite 501, Waukesha, WI 53188 Ph: (262) 928-2396 |
Dr. Thomas Jerome Wilson, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 500 Riverview Ave, Waukesha, WI 53188 Phone: 262-548-7666 Fax: 262-548-7656 | |
Dr. Malti Mahendra Patel, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 514 Riverview Ave, Waukesha, WI 53188 Phone: 262-548-7665 Fax: 262-970-6696 | |
Paul Larson, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 721 American Avenue Suite 501, Phc Behavioral Medicine Center, Waukesha, WI 53188 Phone: 262-928-2396 Fax: 262-544-1213 | |
Randall B Steinhaus, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 721 American Ave, Suite 501, Waukesha, WI 53188 Phone: 262-928-2396 | |
Dr. Stanya Smith, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1111 Delafield St Ste 105, Waukesha, WI 53188 Phone: 262-542-9503 Fax: 262-542-8447 | |
Gobind Kang-chahal, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 514 Riverview Ave, Waukesha, WI 53188 Phone: 262-548-7666 | |
Dr. Matthew R Herald, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 721 American Ave Ste 501, Waukesha, WI 53188 Phone: 262-928-7528 Fax: 262-928-5096 |