Accelerated Psychiatry, Sc | |
6502 Grand Teton Plz Ste 107 Madison WI 53719-1047 | |
(608) 820-1570 | |
(608) 305-8848 |
Full Name | Accelerated Psychiatry, Sc |
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Speciality | Psychiatry & Neurology |
Location | 6502 Grand Teton Plz Ste 107, Madison, Wisconsin |
Authorized Official Name and Position | Brendon Nacewicz (PRESIDENT) |
Authorized Official Contact | 6088201570 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Accelerated Psychiatry, Sc 6502 Grand Teton Plz Ste 107 Madison WI 53719-1047 Ph: (608) 820-1570 | Accelerated Psychiatry, Sc 6502 Grand Teton Plz Ste 107 Madison WI 53719-1047 Ph: (608) 820-1570 |
NPI Number | 1619644358 |
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Provider Enumeration Date | 08/29/2021 |
Last Update Date | 07/16/2024 |
Certification Date | 07/16/2024 |
Medicare PECOS PAC ID | 4385035740 |
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Medicare Enrollment ID | O20211220002447 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619644358 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Brendon M Nacewicz |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1437463619 PECOS PAC ID: 2365665551 Enrollment ID: I20150625000366 |
Provider Name | Erick T Sheftic |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1629464177 PECOS PAC ID: 4486959376 Enrollment ID: I20190723000005 |
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