| Eau Claire Psychologists Llc | |
|
101 N Farwell St Ste. 204 Eau Claire WI 54703-3765 | |
| (715) 514-4600 | |
| (715) 514-4008 |
| Full Name | Eau Claire Psychologists Llc |
|---|---|
| Speciality | Psychologist |
| Location | 101 N Farwell St, Eau Claire, Wisconsin |
| Authorized Official Name and Position | Anton C Smets (PARTNER) |
| Authorized Official Contact | 7155144600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eau Claire Psychologists Llc 101 N Farwell St Ste. 204 Eau Claire WI 54703-3765 Ph: (715) 514-4600 | Eau Claire Psychologists Llc 101 N Farwell St Ste. 204 Eau Claire WI 54703-3765 Ph: (715) 514-4600 |
| NPI Number | 1528510633 |
|---|---|
| Provider Enumeration Date | 10/25/2016 |
| Last Update Date | 12/27/2016 |
| Medicare PECOS PAC ID | 1557642980 |
|---|---|
| Medicare Enrollment ID | O20161227000431 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528510633 | NPI | - | NPPES |
| 39230200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1783-57 (Wisconsin) | Primary |
| Provider Name | Rae J Schilling |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255398541 PECOS PAC ID: 4688641517 Enrollment ID: I20040910001235 |
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