| Sschc Chavez Clinic | |
|
1032 S Cesar E Chavez Dr Milwaukee WI 53204-2203 | |
| (414) 672-1353 | |
| Not Available |
| Full Name | Sschc Chavez Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1032 S Cesar E Chavez Dr, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Maria Cecilia S Taylor (CFO) |
| Authorized Official Contact | 4148036395 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sschc Chavez Clinic Po Box 778789 Chicago IL 60677-8789 Ph: (414) 672-1353 | Sschc Chavez Clinic 1032 S Cesar E Chavez Dr Milwaukee WI 53204-2203 Ph: (414) 672-1353 |
| NPI Number | 1417912999 |
|---|---|
| Provider Enumeration Date | 04/19/2006 |
| Last Update Date | 10/17/2024 |
| Certification Date | 10/17/2024 |
| Medicare PECOS PAC ID | 6709876857 |
|---|---|
| Medicare Enrollment ID | O20040512001352 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417912999 | NPI | - | NPPES |
| 1417912999 | Medicaid | WI |
| Provider Name | Kimberly H Frank |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265598940 PECOS PAC ID: 1052204443 Enrollment ID: I20040209000175 |
| Provider Name | Maria I Mas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083703060 PECOS PAC ID: 4385625722 Enrollment ID: I20040601000294 |
| Provider Name | Marni K Hebert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568406346 PECOS PAC ID: 8325025901 Enrollment ID: I20040701000725 |
| Provider Name | Barry K Gimbel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093715856 PECOS PAC ID: 9931179991 Enrollment ID: I20040727001587 |
| Provider Name | Michael J Ewing |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104922525 PECOS PAC ID: 6406823665 Enrollment ID: I20040916000141 |
| Provider Name | Jon M Englund |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871552125 PECOS PAC ID: 7911966445 Enrollment ID: I20041008000755 |
| Provider Name | Warren K Mciver |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1174529671 PECOS PAC ID: 5496711467 Enrollment ID: I20041202000224 |
| Provider Name | Steven L Armus |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1982601704 PECOS PAC ID: 7517937451 Enrollment ID: I20041203000885 |
| Provider Name | Stephen K Sponagle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255382925 PECOS PAC ID: 1658320957 Enrollment ID: I20050113000480 |
| Provider Name | John M Dunn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093710543 PECOS PAC ID: 6103872981 Enrollment ID: I20050324000535 |
| Provider Name | Charles F Brummitt |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1528063104 PECOS PAC ID: 8325095839 Enrollment ID: I20050406001136 |
| Provider Name | Valynda Wells |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164480489 PECOS PAC ID: 1557301876 Enrollment ID: I20050505001075 |
| Provider Name | David Lee Hoogerland |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1992751317 PECOS PAC ID: 3678482502 Enrollment ID: I20050616000379 |
| Provider Name | Jane M Collis Geers |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1023191921 PECOS PAC ID: 7618903980 Enrollment ID: I20050711000069 |
| Provider Name | Emilia I Arana |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144225871 PECOS PAC ID: 1254368202 Enrollment ID: I20050720001126 |
| Provider Name | Karen F Lupa |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1144226614 PECOS PAC ID: 7719914647 Enrollment ID: I20050722000408 |
| Provider Name | Francisco J Enriquez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952306441 PECOS PAC ID: 1658309687 Enrollment ID: I20050801000820 |
| Provider Name | Paul E West |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265472435 PECOS PAC ID: 1355384843 Enrollment ID: I20050913000604 |
| Provider Name | Mary E Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386613875 PECOS PAC ID: 4284643370 Enrollment ID: I20060418000643 |
| Provider Name | Mary Kay Marzano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770508764 PECOS PAC ID: 2860597010 Enrollment ID: I20070417000093 |
| Provider Name | Deanna J Schmidt |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1619168226 PECOS PAC ID: 7911091228 Enrollment ID: I20070918000205 |
| Provider Name | Lisa M Espinosa |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1730184227 PECOS PAC ID: 6901986314 Enrollment ID: I20080110000086 |
| Provider Name | Annaliza A Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538341342 PECOS PAC ID: 6800977588 Enrollment ID: I20080118000699 |
| Provider Name | Jay B Pludeman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508070244 PECOS PAC ID: 6608923115 Enrollment ID: I20090420000286 |
| Provider Name | Michael Todd Bauer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801954102 PECOS PAC ID: 3678621182 Enrollment ID: I20090511000110 |
| Provider Name | Vicki L Goodman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1508197815 PECOS PAC ID: 0840329629 Enrollment ID: I20100604000073 |
| Provider Name | Thomas M Bachhuber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477558104 PECOS PAC ID: 6204029341 Enrollment ID: I20101020001558 |
| Provider Name | Kathy Susan Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164427654 PECOS PAC ID: 9638364284 Enrollment ID: I20101109001328 |
| Provider Name | Pamela Denise Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083610430 PECOS PAC ID: 6507051976 Enrollment ID: I20101110001395 |
| Provider Name | Mariana Rincon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811993330 PECOS PAC ID: 1557556768 Enrollment ID: I20101113000225 |
| Provider Name | Patricia Cabral |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194720706 PECOS PAC ID: 8123214038 Enrollment ID: I20101117001604 |
| Provider Name | Nancy M Healy Haney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255631255 PECOS PAC ID: 4688856255 Enrollment ID: I20110303000685 |
| Provider Name | Amelia B Brost |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477883023 PECOS PAC ID: 3678741527 Enrollment ID: I20110719000730 |
| Provider Name | Gabriela Dieguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982889465 PECOS PAC ID: 1456521301 Enrollment ID: I20110831000716 |
| Provider Name | Maria Elena Perez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619072170 PECOS PAC ID: 6103096722 Enrollment ID: I20110908002030 |
| Provider Name | Margaret Dunn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285639765 PECOS PAC ID: 7719144716 Enrollment ID: I20120202000480 |
| Provider Name | Alicia Marie Broeren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538164132 PECOS PAC ID: 1658539358 Enrollment ID: I20120227000814 |
| Provider Name | Carolyn B Penegor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386918043 PECOS PAC ID: 1153584081 Enrollment ID: I20120511000560 |
| Provider Name | Brian Carl Hilgeman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104141126 PECOS PAC ID: 8527205509 Enrollment ID: I20130510000392 |
| Provider Name | Melissa C Waldo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851637102 PECOS PAC ID: 3678713682 Enrollment ID: I20130715000470 |
| Provider Name | Jaime Gonzalez Ruvalcaba |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750321311 PECOS PAC ID: 3779713318 Enrollment ID: I20140227001867 |
| Provider Name | Nikki Sean Kroner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184046781 PECOS PAC ID: 6709017379 Enrollment ID: I20140324001832 |
| Provider Name | Michelle L Buelow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316238272 PECOS PAC ID: 2466691100 Enrollment ID: I20140811001726 |
| Provider Name | Rachel A Eash-scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699831016 PECOS PAC ID: 0042379521 Enrollment ID: I20141119002180 |
| Provider Name | Daihanara Cintron-lafontaine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134312150 PECOS PAC ID: 0648437327 Enrollment ID: I20150312002163 |
| Provider Name | Jody C Epstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487074720 PECOS PAC ID: 2769795988 Enrollment ID: I20151008001626 |
| Provider Name | Mara J Bach |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598057242 PECOS PAC ID: 7416259932 Enrollment ID: I20151230000698 |
| Provider Name | Marcel Hernani Tassara |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265801740 PECOS PAC ID: 3971800558 Enrollment ID: I20160325000178 |
| Provider Name | Juana Dorger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538408661 PECOS PAC ID: 4385941830 Enrollment ID: I20160328001767 |
| Provider Name | Kellie M Simmons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225329949 PECOS PAC ID: 3779874003 Enrollment ID: I20160616001950 |
| Provider Name | Elizabeth A Pyne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821330515 PECOS PAC ID: 4486973716 Enrollment ID: I20160620001438 |
| Provider Name | Bret J. Valentine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659536969 PECOS PAC ID: 5092028167 Enrollment ID: I20160705001009 |
| Provider Name | William Reyes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326372178 PECOS PAC ID: 2860785888 Enrollment ID: I20160727002339 |
| Provider Name | Sol Del Mar Aldrete Audiffred |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396059838 PECOS PAC ID: 6901192004 Enrollment ID: I20160915000587 |
| Provider Name | Karen Ruth Stern |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649399536 PECOS PAC ID: 3577512425 Enrollment ID: I20161110002454 |
| Provider Name | Emily R Walz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700221991 PECOS PAC ID: 0547484750 Enrollment ID: I20170726001946 |
| Provider Name | John Trimberger |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1649616335 PECOS PAC ID: 3072813898 Enrollment ID: I20170727003704 |
| Provider Name | Angela Kathryn Golon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114441540 PECOS PAC ID: 7012280381 Enrollment ID: I20170907003183 |
| Provider Name | Anna Margarita Guerrero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144742750 PECOS PAC ID: 4082987359 Enrollment ID: I20170907003336 |
| Provider Name | Jodi Dykstra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306866066 PECOS PAC ID: 9537162292 Enrollment ID: I20170927001673 |
| Provider Name | Benjamin Eppinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962815860 PECOS PAC ID: 8820214588 Enrollment ID: I20170927001830 |
| Provider Name | Erika L Konkel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447593587 PECOS PAC ID: 2264751387 Enrollment ID: I20171013002016 |
| Provider Name | Jill Litkowski |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1437677473 PECOS PAC ID: 5395001366 Enrollment ID: I20171107002243 |
| Provider Name | Michelle Gloria Parisot |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811278054 PECOS PAC ID: 3072874866 Enrollment ID: I20180216002159 |
| Provider Name | Sara Nixon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659767416 PECOS PAC ID: 2466721121 Enrollment ID: I20180719000418 |
| Provider Name | Jorge A Ramallo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215354360 PECOS PAC ID: 6002117405 Enrollment ID: I20180919002192 |
| Provider Name | Kyle Bohan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457730855 PECOS PAC ID: 0648528208 Enrollment ID: I20181128003418 |
| Provider Name | Sana Mazher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568847986 PECOS PAC ID: 5496099632 Enrollment ID: I20181129000858 |
| Provider Name | Lisa Eileen Calabrese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801376140 PECOS PAC ID: 8325382906 Enrollment ID: I20181210000132 |
| Provider Name | Lauren B Maher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154776037 PECOS PAC ID: 5991098311 Enrollment ID: I20190812001347 |
| Provider Name | Linda P Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154978310 PECOS PAC ID: 9234468554 Enrollment ID: I20190912000694 |
| Provider Name | Faith C Harris |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649294869 PECOS PAC ID: 0446255475 Enrollment ID: I20190918002699 |
| Provider Name | Aja Nicole Aviles-soto |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1609426956 PECOS PAC ID: 4789916206 Enrollment ID: I20191101000032 |
| Provider Name | Sarah E Straka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932337490 PECOS PAC ID: 0840478699 Enrollment ID: I20191114000881 |
| Provider Name | Suelhem A Grochowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821650102 PECOS PAC ID: 9234561937 Enrollment ID: I20191119000915 |
| Provider Name | Amanda K Liewen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275997645 PECOS PAC ID: 2860822327 Enrollment ID: I20200423002447 |
| Provider Name | Holly C Helm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023617214 PECOS PAC ID: 0941612352 Enrollment ID: I20201209000242 |
| Provider Name | Kimberly Dee Chobanian Balash |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1215547369 PECOS PAC ID: 2860804655 Enrollment ID: I20201221000657 |
| Provider Name | Cecilia Carmen Blancas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649876186 PECOS PAC ID: 9436564200 Enrollment ID: I20210209002732 |
| Provider Name | Carla Freitas De Melo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598391724 PECOS PAC ID: 8224443932 Enrollment ID: I20210210001657 |
| Provider Name | Angela M Aviles-soto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558976910 PECOS PAC ID: 8527473503 Enrollment ID: I20210225001524 |
| Provider Name | Ivonne Rosado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376161471 PECOS PAC ID: 9830505122 Enrollment ID: I20210311000950 |
| Provider Name | Bao Xiong-mdshahrin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316522303 PECOS PAC ID: 7012325061 Enrollment ID: I20210413000721 |
| Provider Name | Ryan Joseph Baxter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750655643 PECOS PAC ID: 4587978937 Enrollment ID: I20210427001326 |
| Provider Name | Alyssa R Sherer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023697810 PECOS PAC ID: 3375945058 Enrollment ID: I20210719000749 |
| Provider Name | Elizabeth Theppanya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952981227 PECOS PAC ID: 9931506888 Enrollment ID: I20210921000733 |
| Provider Name | Miranda Ann Malone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962920900 PECOS PAC ID: 9537567383 Enrollment ID: I20211007002585 |
| Provider Name | Molly Cousin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720244395 PECOS PAC ID: 2769796309 Enrollment ID: I20211012000496 |
| Provider Name | Caitlin West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275159964 PECOS PAC ID: 3779981311 Enrollment ID: I20211012001042 |
| Provider Name | Diego Villarreal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154090785 PECOS PAC ID: 6800294463 Enrollment ID: I20211012001852 |
| Provider Name | Mariah C Jordan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1386382174 PECOS PAC ID: 4486011483 Enrollment ID: I20230607000523 |
| Provider Name | Elizabeth Houlihan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982223707 PECOS PAC ID: 0941669162 Enrollment ID: I20230706002901 |
| Provider Name | Justin E Temple |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720617624 PECOS PAC ID: 0446672299 Enrollment ID: I20230710000829 |
| Provider Name | Jenna R Haeberle |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1033577762 PECOS PAC ID: 6800191388 Enrollment ID: I20230929001799 |
| Provider Name | Patricia Ann Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811672959 PECOS PAC ID: 5698121044 Enrollment ID: I20231021000716 |
| Provider Name | Jessica White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164078796 PECOS PAC ID: 6002242344 Enrollment ID: I20231127001348 |
| Provider Name | Rosalina C Solorzano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609257989 PECOS PAC ID: 2365890274 Enrollment ID: I20231201002250 |
| Provider Name | Heather Michele Duzynski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376317743 PECOS PAC ID: 1658720933 Enrollment ID: I20231212002026 |
| Provider Name | Blanche C Brown |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1467010413 PECOS PAC ID: 9931559390 Enrollment ID: I20240116001076 |
| Provider Name | Nevada Marie Myers Wesley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700139383 PECOS PAC ID: 9739531765 Enrollment ID: I20240116001262 |
| Provider Name | Lauren Ramsey Lewis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952885337 PECOS PAC ID: 7315399342 Enrollment ID: I20240116001429 |
| Provider Name | Neil B Mitchell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194240028 PECOS PAC ID: 3577915511 Enrollment ID: I20240116001563 |
| Provider Name | Paula C Ortega-jenna |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1588859540 PECOS PAC ID: 3072965953 Enrollment ID: I20240116003068 |
| Provider Name | Rossy Serrano |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1649676529 PECOS PAC ID: 0749632628 Enrollment ID: I20240116003259 |
| Provider Name | Diana Andrea Mesa-horaitis |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1386684546 PECOS PAC ID: 3173563533 Enrollment ID: I20240116003370 |
| Provider Name | Melanie Figueroa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740740208 PECOS PAC ID: 6800246091 Enrollment ID: I20240117001580 |
| Provider Name | Vanessa Rosas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588216733 PECOS PAC ID: 4183076870 Enrollment ID: I20240118001093 |
| Provider Name | Sharais G Alvarado Pacheco |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720640329 PECOS PAC ID: 3779987854 Enrollment ID: I20240118001335 |
| Provider Name | Holly Marie Petrauskas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366063521 PECOS PAC ID: 4183076896 Enrollment ID: I20240118001820 |
| Provider Name | Beatriz Serna Aranda |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184276289 PECOS PAC ID: 6608228317 Enrollment ID: I20240118001951 |
| Provider Name | Peter Allen Schwoerer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982013397 PECOS PAC ID: 0042662769 Enrollment ID: I20240118002066 |
| Provider Name | Maria Elisa Guardiola |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447672845 PECOS PAC ID: 0345683595 Enrollment ID: I20240205003969 |
| Provider Name | Gabriela Palomino Mccomb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780023663 PECOS PAC ID: 7810330925 Enrollment ID: I20240206001655 |
| Provider Name | Rachel C Soliday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194451336 PECOS PAC ID: 6002292471 Enrollment ID: I20240216003731 |
| Provider Name | Jamie Collins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760045280 PECOS PAC ID: 0143650648 Enrollment ID: I20240328002398 |
| Provider Name | Regina S Dalla Riva |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104211416 PECOS PAC ID: 0648542241 Enrollment ID: I20240329000328 |
| Provider Name | Charlotte Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467214197 PECOS PAC ID: 1850730656 Enrollment ID: I20240412001775 |
| Provider Name | Kimberly Dione Goins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932246527 PECOS PAC ID: 1355780768 Enrollment ID: I20240418001624 |
| Provider Name | David Glaubke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649859299 PECOS PAC ID: 7911377841 Enrollment ID: I20240515001005 |
| Provider Name | Lisa Floch Gilvary |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700637717 PECOS PAC ID: 5991247207 Enrollment ID: I20240601000559 |
| Provider Name | Katie M Harrison |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437453156 PECOS PAC ID: 6800246273 Enrollment ID: I20240604001842 |
| Provider Name | Kristine K Scardina |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629822820 PECOS PAC ID: 5991247462 Enrollment ID: I20240612001226 |
Affirmative Reaction Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6001 W Center St Ste 201, Milwaukee, WI 53210 Phone: 414-324-5318 | |
Stepping Stone Behavorial Health Clinic, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7441 W Greenfield Ave, Suite 15, Milwaukee, WI 53214 Phone: 262-951-6969 | |
River's Shore Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3707 N Richards St, Milwaukee, WI 53212 Phone: 414-967-7006 Fax: 414-967-7020 | |
Sj Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7726 N 80th St, Milwaukee, WI 53223 Phone: 414-841-5648 | |
Westcare Wisconsin, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 335 W Wright St, Milwaukee, WI 53212 Phone: 414-323-0185 | |
New Frontiers Psychiatric Sc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2675 N Mayfair Rd Ste 400, Milwaukee, WI 53226 Phone: 414-763-6910 Fax: 414-763-6911 | |
Findley Medical Clinic Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6114 W Capitol Dr Ste 101, Milwaukee, WI 53216 Phone: 414-988-3079 Fax: 414-982-1211 |