Eric D Seybold, PHD in Brookfield, WI - Medicare Clinical Psychologist Provider

Eric D Seybold, PHD is a medicare enrolled "Psychologist - Clinical" provider in Brookfield, Wisconsin. He graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Christian Life Counseling Llc and his current practice location is 12690 W North Ave, Brookfield, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 785-1008.

Eric D Seybold is licensed to practice in Wisconsin (license number 2494-057) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1427002211.

Contact Information

	Eric D Seybold, PHD
	12690 W North Ave, Brookfield, WI 53005-4636
	(262) 785-1008
	(262) 785-0644

Map and Direction

Healthcare Provider's Profile

Full Name	Eric D Seybold
Gender	Male
Speciality	Clinical Psychologist
Experience	23 Years
Location	12690 W North Ave, Brookfield, 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.

Medical Education and Training:

Eric D Seybold graduated from medical school in 2001

NPI Data:

NPI Number: 1427002211
Provider Enumeration Date: 05/19/2006
Last Update Date: 01/15/2018

Medicare PECOS Information:

PECOS PAC ID: 3779581277
Enrollment ID: I20061116000492

Medical Identifiers

Medical identifiers for Eric D Seybold such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427002211	NPI	-	NPPES
39769500	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	2494-057 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Christian Life Counseling Llc	8325046162	4

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Eric D Seybold allows following entities to bill medicare on his behalf.

Entity Name	Christian Life Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659466860 PECOS PAC ID: 8325046162 Enrollment ID: O20061110000142

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Eric D Seybold is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Eric D Seybold, PHD 12630 W North Ave, Bldg E, Brookfield, WI 53005-4626 Ph: (262) 785-1008	Eric D Seybold, PHD 12690 W North Ave, Brookfield, WI 53005-4636 Ph: (262) 785-1008

Reviews and Comments

Psychologist in Brookfield, WI

Dr. Kathleen M Schoendorf, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12690 W North Avenue, Elmbrook Family Counseling Center, Brookfield, WI 53005 Phone: 262-785-9188 Fax: 262-785-0644
Dr. Stephen Gary Levine, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 17100 W Bluemound Rd, Suite 204, Brookfield, WI 53005 Phone: 262-391-5780 Fax: 262-754-3712
Dr. Rachel A. Roeglin, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005 Phone: 262-789-1191
Kathleen Gehl, PSYD, NP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 13965 W Burleigh Rd, Brookfield, WI 53005 Phone: 262-785-6002 Fax: 262-785-2773
Dr. Stephen Martin Saunders, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16535 W Bluemound Rd, Suite Number 200, Brookfield, WI 53005 Phone: 262-542-3255
Susan Eileen Donahoo, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 660 Woelfel Rd, Brookfield, WI 53045 Phone: 262-789-8089
Madeline Bliske, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005 Phone: 262-789-1191

Eric D Seybold, PHD - Medicare Psychologist in Brookfield, WI