Dr Russell William Kinkade Jr, PSYD | |
6214 Washington Avenue, Suite C 10, Racine, WI 53406 | |
(262) 989-5228 | |
Not Available |
Full Name | Dr Russell William Kinkade Jr |
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Gender | Male |
Speciality | Clinical Psychologist |
Experience | 39 Years |
Location | 6214 Washington Avenue, Racine, 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 |
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1033295571 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | 1296 (Wisconsin) | Primary |
Entity Name | Russ Kinkade Psy D S C |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992195192 PECOS PAC ID: 8921327644 Enrollment ID: O20150430002606 |
Mailing Address | Practice Location Address |
---|---|
Dr Russell William Kinkade Jr, PSYD S55w29307 Holiday Point, Waukesha, WI 53189-9026 Ph: (262) 989-5228 | Dr Russell William Kinkade Jr, PSYD 6214 Washington Avenue, Suite C 10, Racine, WI 53406 Ph: (262) 989-5228 |
Dr. Anthony Donald Wendorf, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 840 Lake Avenue, Suite 101, Racine, WI 53403 Phone: 262-634-8688 Fax: 262-634-7547 | |
Dr. Tammy Lynn Zimmel, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3701 Durand Ave, Suite 325, Racine, WI 53405 Phone: 262-554-9846 Fax: 262-598-9032 | |
Dr. Rondi J Rork, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 6015 Durand Ave, Ste 450, Racine, WI 53406 Phone: 262-884-4848 Fax: 262-886-6643 | |
Dr. Marie M Miller, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3701 Durand Ave, Suite 325, Racine, WI 53405 Phone: 262-496-4277 | |
D Martin Hayden, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 840 Lake Ave, Racine, Racine, WI 53403 Phone: 262-634-8688 Fax: 262-634-7547 | |
Dr. Melissa Metzger, PSYD, NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2340 Mohr Ave, Racine, WI 53405 Phone: 262-664-6162 |