Sue C Radtke, PHD is a
Psychologist based in Jackson, Wisconsin. Sue C Radtke is licensed to practice in Wisconsin (license number 2828-057) and her current practice location is
4476 Bittersweet Ct, Jackson, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(262) 573-9568.
NPI number for Sue C Radtke is 1972834604 and her current mailing address is 4476 Bittersweet Ct, Jackson, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972834604.
Healthcare Provider's Profile
Full Name | Sue C Radtke |
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Gender | Female |
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Speciality | Psychologist |
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Location | 4476 Bittersweet Ct, Jackson, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1972834604
- Provider Enumeration Date: 01/20/2010
- Last Update Date: 01/20/2010
Medical Identifiers
Medical identifiers for Sue C Radtke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972834604 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 2828-057 (Wisconsin) | Primary |
103TC0700X | Psychologist - Clinical | 071.007726 (Illinois) | Secondary |
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. Sue C Radtke is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Sue C Radtke, PHD 4476 Bittersweet Ct, Jackson, WI 53037-9754 Ph: (262) 573-9568 | Sue C Radtke, PHD 4476 Bittersweet Ct, Jackson, WI 53037-9754 Ph: (262) 573-9568 |
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