Dr Casey Ray Coleman, EDD is a
Psychologist - School based in Superior, Wisconsin. Dr Casey Ray Coleman is licensed to practice in Wisconsin (license number 213068) and his current practice location is
1619 E 5th St, Superior, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(715) 718-2163.
NPI number for Dr Casey Ray Coleman is 1477139467 and his current mailing address is 1619 E 5th St, Superior, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1477139467.
Healthcare Provider's Profile
| Full Name | Dr Casey Ray Coleman |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - School |
|---|
| Location | 1619 E 5th St, Superior, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1477139467
- Provider Enumeration Date: 03/22/2021
- Last Update Date: 03/22/2021
Medical Identifiers
Medical identifiers for Dr Casey Ray Coleman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1477139467 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TS0200X | Psychologist - School | 213068 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Casey Ray Coleman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Casey Ray Coleman, EDD 1619 E 5th St, Superior, WI 54880-3432 Ph: (715) 718-2163 | Dr Casey Ray Coleman, EDD 1619 E 5th St, Superior, WI 54880-3432 Ph: (715) 718-2163 |
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