Dr Lawrence J Mandt, PHD | |
2254 Monroe St, Madison, WI 53711-1902 | |
(608) 223-9767 | |
Not Available |
Full Name | Dr Lawrence J Mandt |
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Gender | Male |
Speciality | Clinical Psychologist |
Experience | 38 Years |
Location | 2254 Monroe St, Madison, 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 |
---|---|---|---|
1255361002 | NPI | - | NPPES |
39088600 | Medicaid | WI | |
1011078 | Other | WI | PHYSICIANS PLUS ID NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 1610 (Wisconsin) | Secondary |
103T00000X | Psychologist | 1610-57 (Wisconsin) | Primary |
Entity Name | Elkhart Psychological Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265554430 PECOS PAC ID: 3375627946 Enrollment ID: O20080221000351 |
Mailing Address | Practice Location Address |
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Dr Lawrence J Mandt, PHD S88w25730 Edgewood Ave, Mukwonago, WI 53149-9609 Ph: (262) 706-3391 | Dr Lawrence J Mandt, PHD 2254 Monroe St, Madison, WI 53711-1902 Ph: (608) 223-9767 |
Dr. Elliot Aaron Tebbe, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 419 S Mills St, Madison, WI 53715 Phone: 320-339-9992 | |
Dr. Travis Fox, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4513 Vernon Blvd Ste 100, Madison, WI 53705 Phone: 503-730-0072 | |
Blake Bettis, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1750 Fordem Ave Apt 704, Madison, WI 53704 Phone: 470-331-2534 | |
Ms. Patricia Ann Hanson, PH D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7633 Ganser Way, Ste 204, Madison, WI 53719 Phone: 608-829-1800 Fax: 608-829-1885 | |
Dr. David C. Lee, PHD, JD Psychologist Medicare: Medicare Enrolled Practice Location: 1713 Camelot Dr, Madison, WI 53705 Phone: 608-301-1047 Fax: 608-301-1390 | |
Mr. Harvey Hilbert Honig, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 122 E Olin Ave, Ste 220, Madison, WI 53713 Phone: 608-255-9119 Fax: 608-255-9219 | |
Alyssa Walsh, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1500 Highland Ave, Madison, WI 53705 Phone: 608-263-3301 |