Dr Patricia Meyer Chan, PHD | |
5800 N Bay Shore Dr, Suite A250, Glendale, WI 53217 | |
(414) 962-6764 | |
(414) 962-6765 |
Full Name | Dr Patricia Meyer Chan |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | 5800 N Bay Shore Dr, Glendale, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215015193 | NPI | - | NPPES |
43575100 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 2396057 (Wisconsin) | Primary |
Entity Name | North Shore Psychotherapy Associates Iii |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194809574 PECOS PAC ID: 4688737646 Enrollment ID: O20090116000521 |
Entity Name | North Shore Psychotherapy Associates Iv |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194809574 PECOS PAC ID: 7911287461 Enrollment ID: O20161129002490 |
Mailing Address | Practice Location Address |
---|---|
Dr Patricia Meyer Chan, PHD 5800 N Bay Shore Dr, Suite A250, Glendale, WI 53217 Ph: (414) 962-6764 | Dr Patricia Meyer Chan, PHD 5800 N Bay Shore Dr, Suite A250, Glendale, WI 53217 Ph: (414) 962-6764 |
Dr. Christopher Joseph Daood, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 950 W Riverview Dr, Glendale, WI 53209 Phone: 414-617-3704 | |
Dr. Caroline G Schmidt, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 5555 N Port Washington Rd, Suite 200, Glendale, WI 53217 Phone: 262-542-3255 Fax: 414-967-7965 | |
Ted Terry Bruce, MSW LICSW Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6110 N Port Washington Rd, Glendale, WI 53217 Phone: 414-332-7400 Fax: 414-963-6866 | |
Robert L. Welker, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 250 W Coventry Ct, Suite 209, Glendale, WI 53217 Phone: 414-351-7726 Fax: 414-351-7721 | |
Ms. Mary Catherine Enderlin, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6110 N Port Washington Road, The Cambridge Group, Glendale, WI 53217 Phone: 414-332-7400 Fax: 414-963-6866 | |
Mr. Mike Zussman, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5800 N Bayshore Dr Ste A250, Glendale, WI 53217 Phone: 414-962-6764 Fax: 414-962-6765 |