Tara L Robertson, MS,PSYD | |
301 E Saint Joseph St, Green Bay, WI 54301-2241 | |
(920) 433-3630 | |
Not Available |
Full Name | Tara L Robertson |
---|---|
Gender | Female |
Speciality | Clinical Psychologist |
Experience | 17 Years |
Location | 301 E Saint Joseph St, Green Bay, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831229376 | NPI | - | NPPES |
1831229376 | Medicaid | WI | |
43596700 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 2750 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bellin Psychiatric Center Inc | 4486551058 | 65 |
Entity Name | Bellin Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609838473 PECOS PAC ID: 8820900749 Enrollment ID: O20031121000089 |
Entity Name | Bellin Psychiatric Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952554800 PECOS PAC ID: 4486551058 Enrollment ID: O20031212000884 |
Mailing Address | Practice Location Address |
---|---|
Tara L Robertson, MS,PSYD 301 E Saint Joseph St, Green Bay, WI 54301-2241 Ph: (920) 433-3630 | Tara L Robertson, MS,PSYD 301 E Saint Joseph St, Green Bay, WI 54301-2241 Ph: (920) 433-3630 |
Irma Catherine Smet, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1821 S Webster Ave, Green Bay, WI 54301 Phone: 920-496-4700 Fax: 920-496-4705 | |
Michael P Sayers, PH D Psychologist Medicare: Medicare Enrolled Practice Location: 2640 W Point Rd, Green Bay, WI 54304 Phone: 920-869-2711 | |
Mr. William B Hitch, PH.D., ABPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 725 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-7995 Fax: 920-433-3458 | |
Dr. Katie Rollin, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1160 Kepler Dr, Green Bay, WI 54311 Phone: 920-288-5500 | |
Gabrielle Marie Rodriguez, PSY.D Psychologist Medicare: Medicare Enrolled Practice Location: 301 E Saint Joseph St, Green Bay, WI 54301 Phone: 920-433-6073 Fax: 920-431-0333 | |
Brian J Cagle, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 301 E Saint Joseph St, Green Bay, WI 54301 Phone: 920-433-6073 | |
Dr. Bonnie Rae Nussbaum, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3600 Velp Ave Ste 4-a, Green Bay, WI 54313 Phone: 920-884-7445 Fax: 920-844-7449 |