Dr Jonathan Caleb Easton, PSYD | |
N2846 State Road 67, Williams Bay, WI 53191-3771 | |
(262) 245-5608 | |
(262) 245-5648 |
Full Name | Dr Jonathan Caleb Easton |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 18 Years |
Location | N2846 State Road 67, Williams Bay, 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 |
---|---|---|---|
1841435039 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 071.007571 (Illinois) | Secondary |
103TC0700X | Psychologist - Clinical | 3233-57 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Health System Corporation | 7416860440 | 475 |
Entity Name | Mercy Health System Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
Mailing Address | Practice Location Address |
---|---|
Dr Jonathan Caleb Easton, PSYD N2846 State Road 67, Williams Bay, WI 53191-3771 Ph: (262) 245-5608 | Dr Jonathan Caleb Easton, PSYD N2846 State Road 67, Williams Bay, WI 53191-3771 Ph: (262) 245-5608 |
Julie A Beyers, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: N2846 State Road 67, Williams Bay, WI 53191 Phone: 262-245-5608 Fax: 262-245-5648 | |
Dr. John Larry Jansky, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: N2846 State Road 67, Williams Bay, WI 53191 Phone: 262-245-5608 Fax: 262-245-5648 | |
Katherine L Catuara, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: N2846 State Road 67, Williams Bay, WI 53191 Phone: 262-245-5608 Fax: 262-245-5648 |