| Bcs Of Wisconsin S.c. | |
|
2717 N Grandview Blvd Ste 102 Waukesha WI 53188-1672 | |
| (262) 513-0700 | |
| (262) 513-0707 |
| Full Name | Bcs Of Wisconsin S.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2717 N Grandview Blvd Ste 102, Waukesha, Wisconsin |
| Authorized Official Name and Position | Robert Arthur Clemente (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Contact | 2488593900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bcs Of Wisconsin S.c. 39465 W 14 Mile Rd Novi MI 48377-1600 Ph: (248) 859-3900 | Bcs Of Wisconsin S.c. 2717 N Grandview Blvd Ste 102 Waukesha WI 53188-1672 Ph: (262) 513-0700 |
| NPI Number | 1629579149 |
|---|---|
| Provider Enumeration Date | 02/21/2018 |
| Last Update Date | 10/03/2024 |
| Certification Date | 10/03/2024 |
| Medicare PECOS PAC ID | 7618232760 |
|---|---|
| Medicare Enrollment ID | O20180521002097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629579149 | NPI | - | NPPES |
| Provider Name | Thomas Holbrook |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760593180 PECOS PAC ID: 2668416702 Enrollment ID: I20050620000218 |
| Provider Name | Matthew Robert Herald |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275737199 PECOS PAC ID: 7810166824 Enrollment ID: I20110809000328 |
| Provider Name | Jack N Powitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558490433 PECOS PAC ID: 7012015639 Enrollment ID: I20180521002167 |
| Provider Name | Dennis Peter Padla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295728921 PECOS PAC ID: 7517858046 Enrollment ID: I20180521002273 |
| Provider Name | Lisa Draze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366814493 PECOS PAC ID: 7517243561 Enrollment ID: I20190226003220 |
| Provider Name | Jean M Volm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265071088 PECOS PAC ID: 8325474513 Enrollment ID: I20200206002183 |
Allied Counseling Services, S.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2717 N Grandview Blvd Ste 202, Waukesha, WI 53188 Phone: 262-751-5672 Fax: 855-702-2180 | |
Catholic Charities Of The Archdiocese Of Milwaukee Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 717 N East Ave, Waukesha, WI 53186 Phone: 262-547-2463 Fax: 262-547-8002 | |
Summit Medical Specialists, Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2717 N Grandview Blvd Ste 202, Waukesha, WI 53188 Phone: 262-513-0700 Fax: 262-513-0707 | |
Waukesha County (ccs) Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 Airport Rd, Waukesha, WI 53188 Phone: 262-548-7950 Fax: 262-970-4791 | |
Children's Service Society Of Wisconsin Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 223 Wisconsin Ave, Suite D, Waukesha, WI 53186 Phone: 262-544-5333 Fax: 262-544-5393 | |
La Casa De Esperanza Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 Nw Barstow St, Suite 110, Waukesha, WI 53188 Phone: 262-928-4402 Fax: 262-928-7340 | |
Wisconsin Lutheran Child & Family Service, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 E College Ave, Waukesha, WI 53186 Phone: 800-438-1772 Fax: 262-345-5562 |