| Fokus Family Services Llc | |
|
2821 N Vel R Phillips Ave Ste 123 Milwaukee WI 53212-2370 | |
| (414) 264-4217 | |
| (414) 264-4218 |
| Full Name | Fokus Family Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2821 N Vel R Phillips Ave Ste 123, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Elzora Darlene Collins (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4142644217 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fokus Family Services Llc 2821 N Vel R Phillips Ave Ste 123 Milwaukee WI 53212-2370 Ph: (414) 264-4217 | Fokus Family Services Llc 2821 N Vel R Phillips Ave Ste 123 Milwaukee WI 53212-2370 Ph: (414) 264-4217 |
| NPI Number | 1164673133 |
|---|---|
| Provider Enumeration Date | 10/08/2008 |
| Last Update Date | 06/21/2023 |
| Certification Date | 06/21/2023 |
| Medicare PECOS PAC ID | 9830361054 |
|---|---|
| Medicare Enrollment ID | O20111012000784 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164673133 | NPI | - | NPPES |
| WI2479 | Other | MEDICARE PTAN | |
| 42247800 | Medicaid | WI |
| Provider Name | Bruce A Semon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114020773 PECOS PAC ID: 3971498866 Enrollment ID: I20040219000202 |
| Provider Name | Edward G Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700062155 PECOS PAC ID: 8921179979 Enrollment ID: I20080618000448 |
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