Ms Angelique Lewis, | |
820 N Plankinton Ave, Milwaukee, WI 53203-1802 | |
(414) 225-1568 | |
(414) 225-1575 |
Full Name | Ms Angelique Lewis |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | 820 N Plankinton Ave, Milwaukee, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295979714 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 2880-57 (Wisconsin) | Primary |
Entity Name | Vivent Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982654091 PECOS PAC ID: 1052308376 Enrollment ID: O20040428001271 |
Entity Name | Grace Healing And Wellness Center, Llc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467190694 PECOS PAC ID: 3971986506 Enrollment ID: O20220815003554 |
Mailing Address | Practice Location Address |
---|---|
Ms Angelique Lewis, 820 N Plankinton Ave, Milwaukee, WI 53203-1802 Ph: (414) 225-1568 | Ms Angelique Lewis, 820 N Plankinton Ave, Milwaukee, WI 53203-1802 Ph: (414) 225-1568 |
Dr. Donald Raymond Hands, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6500 N Elm Tree Rd, Milwaukee, WI 53217 Phone: 262-617-8574 | |
Jeralee Briggs, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5000 W National Ave, Milwaukee, WI 53295 Phone: 414-384-2000 | |
Dr. Steven Byers, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7306 N 43rd St, Milwaukee, WI 53209 Phone: 262-957-6204 | |
Dr. Michael Dimarco Jr., PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1155 N Mayfair Rd, Third Floor, Milwaukee, WI 53226 Phone: 414-955-8900 Fax: 414-955-6285 | |
Alissa M Butts, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-5660 | |
Dr. Lari Mikel Meyer, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1219 N Cass St, Milwaukee, WI 53202 Phone: 414-291-9487 | |
Dr. David Baruch, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5000 W National Ave, Building 43, Milwaukee, WI 53295 Phone: 414-384-2000 |