Lacey M Bukhari, PSYD in Wauwatosa, WI - Medicare Clinical Psychologist Provider

Lacey M Bukhari, PSYD is a medicare enrolled "Psychologist" provider in Wauwatosa, Wisconsin. She graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Aurora Medical Group, Inc. and her current practice location is 1220 Dewey Ave, Wauwatosa, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 454-6600.

Lacey M Bukhari is licensed to practice in Wisconsin (license number 3424-057) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1205386885.

Contact Information

	Lacey M Bukhari, PSYD
	1220 Dewey Ave, Wauwatosa, WI 53213-2504
	(414) 454-6600
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lacey M Bukhari
Gender	Female
Speciality	Clinical Psychologist
Experience	9 Years
Location	1220 Dewey Ave, Wauwatosa, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lacey M Bukhari graduated from medical school in 2015

NPI Data:

NPI Number: 1205386885
Provider Enumeration Date: 10/07/2016
Last Update Date: 11/29/2021

Medicare PECOS Information:

PECOS PAC ID: 7911285309
Enrollment ID: I20161107001419

Medical Identifiers

Medical identifiers for Lacey M Bukhari such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205386885	NPI	-	NPPES
100061972	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	3424-057 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Aurora St Lukes Medical Center	Milwaukee, WI	Hospital
Aurora Medical Center - Grafton	Grafton, WI	Hospital
West Allis Memorial Hospital	West allis, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Aurora Medical Group, Inc.	6709794258	3269

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. Lacey M Bukhari allows following entities to bill medicare on her behalf.

Entity Name	Aurora Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

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. Lacey M Bukhari 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
Lacey M Bukhari, PSYD 1220 Dewey Ave, Wauwatosa, WI 53213-2504 Ph: (414) 454-6600	Lacey M Bukhari, PSYD 1220 Dewey Ave, Wauwatosa, WI 53213-2504 Ph: (414) 454-6600

Reviews and Comments

Psychologist in Wauwatosa, WI

Jean A Muerhoff-schweda, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1220 Dewey Ave, Lorton Bldg, Rm 208, Wauwatosa, WI 53213 Phone: 414-454-6731 Fax: 414-454-6721
Dr. Denis Ian Jackson, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 11931 W Bluemound Rd, Wauwatosa, WI 53226 Phone: 414-276-8669 Fax: 414-276-1266
James Jeffrey Crisco, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3636 N 124th St, Suite 200, Wauwatosa, WI 53222 Phone: 414-476-9755 Fax: 414-476-3413
Dr. Patricia K. Marik, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 9000 W Wisconsin Ave, Wauwatosa, WI 53226 Phone: 414-266-4926
Dr. John R Galbraith, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2525 N Mayfair Rd, Suite 200, Wauwatosa, WI 53226 Phone: 414-476-8183 Fax: 414-476-8465
Margaret Abraham, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1155 N Mayfair Rd, Wauwatosa, WI 53226 Phone: 414-955-5990 Fax: 414-955-6282
Dr. James Arnold Jensen, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3800 N Mayfair Rd, Lutheran Counseling & Family Services, Wauwatosa, WI 53222 Phone: 414-536-8333 Fax: 414-536-8348

Lacey M Bukhari, PSYD - Medicare Psychologist in Wauwatosa, WI