| Soar Case Management Services, Inc. | |
|
4513 Milwaukee St Madison WI 53714-2132 | |
| (608) 287-0839 | |
| (608) 287-0840 |
| Full Name | Soar Case Management Services, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4513 Milwaukee St, Madison, Wisconsin |
| Authorized Official Name and Position | Lalena Florek Lampe (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6084469491 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Soar Case Management Services, Inc. 4513 Milwaukee St Madison WI 53714-2132 Ph: (608) 287-0839 | Soar Case Management Services, Inc. 4513 Milwaukee St Madison WI 53714-2132 Ph: (608) 287-0839 |
| NPI Number | 1285030445 |
|---|---|
| Provider Enumeration Date | 11/14/2014 |
| Last Update Date | 09/05/2023 |
| Certification Date | 09/05/2023 |
| Medicare PECOS PAC ID | 8123464625 |
|---|---|
| Medicare Enrollment ID | O20240306003779 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285030445 | NPI | - | NPPES |
| 1467657429 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 7857123 (Wisconsin) | Primary |
| Provider Name | Sheila K Thakor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023082765 PECOS PAC ID: 3577696426 Enrollment ID: I20100729000659 |
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