Dr Erik Dmitri Beaver, PHD | |
129 Hospital Dr, Watertown, WI 53098-3334 | |
(920) 262-4800 | |
(920) 262-4813 |
Full Name | Dr Erik Dmitri Beaver |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 31 Years |
Location | 129 Hospital Dr, Watertown, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881679975 | NPI | - | NPPES |
39649500 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 1882 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Watertown Memorial Hospital | Watertown, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Watertown Physician Practices Llc | 8022329408 | 56 |
Entity Name | Watertown Physician Practices Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770964363 PECOS PAC ID: 8022329408 Enrollment ID: O20150626000114 |
Mailing Address | Practice Location Address |
---|---|
Dr Erik Dmitri Beaver, PHD 129 Hospital Dr, Watertown, WI 53098-3334 Ph: () - | Dr Erik Dmitri Beaver, PHD 129 Hospital Dr, Watertown, WI 53098-3334 Ph: (920) 262-4800 |
Dr. Julianna Alitto Kwapil, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 225 N Concord Ave, Watertown, WI 53094 Phone: 920-245-1804 | |
Dr. David A Byrne, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1315 W Main Street, Watertown, WI 53094 Phone: 920-261-4100 Fax: 920-261-8801 | |
Donald John Meyer, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1315 W Main St, Watertown, WI 53094 Phone: 920-261-4100 Fax: 920-261-8801 | |
Dr. Roger J Klein, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1315 W Main St, Watertown, WI 53094 Phone: 920-261-4100 Fax: 920-261-8801 | |
Dr. John T Duffin, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 129 Hospital Dr, Watertown, WI 53098 Phone: 920-262-4800 Fax: 920-262-4813 |