| Affiliated Clinical Services Inc | |
|
111 E Washington St West Bend WI 53095-2571 | |
| (262) 338-2717 | |
| (262) 338-9767 |
| Full Name | Affiliated Clinical Services Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 111 E Washington St, West Bend, Wisconsin |
| Authorized Official Name and Position | Kelli Feucht (ASSISTANT BUSINESS MANAGER) |
| Authorized Official Contact | 2623382717 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Affiliated Clinical Services Inc 111 E Washington St West Bend WI 53095-2571 Ph: (262) 338-2717 | Affiliated Clinical Services Inc 111 E Washington St West Bend WI 53095-2571 Ph: (262) 338-2717 |
| NPI Number | 1851473698 |
|---|---|
| Provider Enumeration Date | 10/20/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 0244124899 |
|---|---|
| Medicare Enrollment ID | O20040212000835 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851473698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Wess R Vogt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023124708 PECOS PAC ID: 0143110783 Enrollment ID: I20040317001474 |
| Provider Name | Srutha Rajkumar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801887914 PECOS PAC ID: 0345207957 Enrollment ID: I20041215000740 |
| Provider Name | Everest C Brooks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184631624 PECOS PAC ID: 1557442365 Enrollment ID: I20080118000138 |
| Provider Name | Rajesh Kumar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194800557 PECOS PAC ID: 2567356124 Enrollment ID: I20101018001000 |
| Provider Name | James K Giese |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417057555 PECOS PAC ID: 2668509936 Enrollment ID: I20140918001918 |
| Provider Name | David Michael Mcmahon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457662249 PECOS PAC ID: 4880840271 Enrollment ID: I20141212001730 |
| Provider Name | Abby Janssen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093238131 PECOS PAC ID: 8921373374 Enrollment ID: I20171011000025 |
| Provider Name | Mical Gustave Schaffer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043571771 PECOS PAC ID: 8022359249 Enrollment ID: I20190416001035 |
| Provider Name | Ryanne B Wendt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174115935 PECOS PAC ID: 8527475573 Enrollment ID: I20210318002361 |
| Provider Name | Shelby A Brandsma |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992458376 PECOS PAC ID: 8022403625 Enrollment ID: I20220317001541 |
| Provider Name | Kang Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801527841 PECOS PAC ID: 5294118147 Enrollment ID: I20220812001088 |
| Provider Name | Tiffany Dubey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013612217 PECOS PAC ID: 6800252289 Enrollment ID: I20230510003000 |
| Provider Name | Sean Patrick Fauls |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750490264 PECOS PAC ID: 7214387869 Enrollment ID: I20231222002366 |
| Provider Name | Craig A Groskreutz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376015701 PECOS PAC ID: 5890145296 Enrollment ID: I20231227003048 |
| Provider Name | Jenna Koch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609450352 PECOS PAC ID: 0648620674 Enrollment ID: I20240103000693 |
| Provider Name | Kellyn Ann Henke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306346614 PECOS PAC ID: 2466802459 Enrollment ID: I20240103003175 |
| Provider Name | Julie Anne Rocheleau |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144725615 PECOS PAC ID: 3870944838 Enrollment ID: I20240104000697 |
| Provider Name | Ariana Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497352074 PECOS PAC ID: 0345685350 Enrollment ID: I20240229002885 |
| Provider Name | Elizabeth Paasch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073866059 PECOS PAC ID: 5395181804 Enrollment ID: I20240306004223 |
| Provider Name | Jesen Daniel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508230632 PECOS PAC ID: 9032559711 Enrollment ID: I20240429000945 |
| Provider Name | Daniel Baranek |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073125035 PECOS PAC ID: 2466893573 Enrollment ID: I20240507002363 |
| Provider Name | Abbey L Kuehn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457834947 PECOS PAC ID: 6608318043 Enrollment ID: I20240612004185 |
Quad/med, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 S 18th Ave, West Bend, WI 53095 Phone: 262-338-1427 | |
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Independent Physicians Of Wisconsin Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 140 E. Water St. Ste 1, West Bend, WI 53095 Phone: 262-355-8010 Fax: 262-355-8011 | |
Paladinawestbend Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 Village Green Way, Suite 101, West Bend, WI 53090 Phone: 262-323-6849 Fax: 978-620-2353 | |
Horizon Healthcare, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 724 Elm St, West Bend, WI 53095 Phone: 414-376-5577 Fax: 414-376-5577 | |
Quad/med, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 432 E. Washington St. #1115, West Bend, WI 53095 Phone: 844-827-1814 |