Dr Patric William Mattek, PHD | |
970 S Silver Lake St Ste 102, Oconomowoc, WI 53066-3802 | |
(262) 569-7100 | |
(262) 567-6295 |
Full Name | Dr Patric William Mattek |
---|---|
Gender | Male |
Speciality | Psychologist |
Location | 970 S Silver Lake St Ste 102, Oconomowoc, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477540243 | NPI | - | NPPES |
40938300 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 2508-57 (Wisconsin) | Primary |
Entity Name | County Of Walworth |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588733307 PECOS PAC ID: 6002872835 Enrollment ID: O20041203000437 |
Mailing Address | Practice Location Address |
---|---|
Dr Patric William Mattek, PHD W206s7867 Pasadena Dr, Muskego, WI 53150-9532 Ph: (262) 971-5015 | Dr Patric William Mattek, PHD 970 S Silver Lake St Ste 102, Oconomowoc, WI 53066-3802 Ph: (262) 569-7100 |
Bonita Jean Debban, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 970 S Silver Lake St, Oconomowoc, WI 53066 Phone: 262-567-7900 Fax: 262-567-7908 | |
Anne L Felden, PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 36100 Genesee Lake Rd, Oconomowoc, WI 53066 Phone: 262-443-1236 | |
Joan Carol Russo, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: W340n6509 Breezy Point Rd, Oconomowoc, WI 53066 Phone: 262-490-9114 | |
Dr. Ian R Powell, M.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 34700 Valley Rd, Oconomowoc, WI 53066 Phone: 262-646-1391 Fax: 262-646-1393 | |
Dr. Johanna Anita Younce, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 34700 Valley Rd, Oconomowoc, WI 53066 Phone: 262-269-4261 | |
Dr. Bradley Christopher Riemann, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 34700 Valley Rd, Oconomowoc, WI 53066 Phone: 800-767-4411 Fax: 262-646-7067 |