| Kats Psychiatry Madison Llc | |
|
702 N. Blackhawk Ave. Suite 100 Madison WI 53705 | |
| (608) 301-5601 | |
| Not Available |
| Full Name | Kats Psychiatry Madison Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 702 N. Blackhawk Ave., Madison, Wisconsin |
| Authorized Official Name and Position | Luba Kats (PSYCHIATRIST) |
| Authorized Official Contact | 6084438285 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kats Psychiatry Madison Llc Po Box 5625 Madison WI 53705-0625 Ph: (608) 443-8285 | Kats Psychiatry Madison Llc 702 N. Blackhawk Ave. Suite 100 Madison WI 53705 Ph: (608) 301-5601 |
| NPI Number | 1407694995 |
|---|---|
| Provider Enumeration Date | 07/18/2024 |
| Last Update Date | 07/29/2024 |
| Certification Date | 07/29/2024 |
| Medicare PECOS PAC ID | 1355873795 |
|---|---|
| Medicare Enrollment ID | O20241010001392 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407694995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Luba Alexandra Kats |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942760038 PECOS PAC ID: 6002209103 Enrollment ID: I20241010001647 |
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