Mr Paul Michael Defazio, MSW in Kenosha, WI - Medicare Provider

Mr Paul Michael Defazio, MSW is a medicare enrolled "Social Worker - Clinical" provider in Kenosha, Wisconsin. His current practice location is 3734 7th Avenue, Suite 24, Kenosha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 654-0487.

Mr Paul Michael Defazio is licensed to practice in Wisconsin (license number 3123123) 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 1740326370.

Contact Information

	Mr Paul Michael Defazio, MSW
	3734 7th Avenue, Suite 24, Kenosha, WI 53140
	(262) 654-0487
	(262) 654-2434

Healthcare Provider's Profile

Full Name	Mr Paul Michael Defazio
Gender	Male
Speciality
Experience	Years
Location	3734 7th Avenue, Kenosha, 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:

Mr Paul Michael Defazio attended and graduated from in

NPI Data:

NPI Number: 1740326370
Provider Enumeration Date: 01/30/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Mr Paul Michael Defazio such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740326370	NPI	-	NPPES
39504600	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	3123123 (Wisconsin)	Primary

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. Mr Paul Michael Defazio 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
Mr Paul Michael Defazio, MSW 3734 7th Avenue, Suite 24, Kenosha, WI 53140 Ph: (262) 654-0487	Mr Paul Michael Defazio, MSW 3734 7th Avenue, Suite 24, Kenosha, WI 53140 Ph: (262) 654-0487

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Social Worker in Kenosha, WI

Linda M. Tiso, MSW, LCSW, SAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3535 30th Ave, Suite 202, Kenosha, WI 53144 Phone: 262-842-0500 Fax: 262-842-0502
Kathryn Ann Aalto, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3734 7th Ave, Suite 12, Kenosha, WI 53140 Phone: 262-654-9370 Fax: 262-654-9379
David S Meyers, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 920 60th St, Kenosha, WI 53140 Phone: 262-654-5333 Fax: 262-654-7818
Nicholas Olsen, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6121 Green Bay Rd Ste 200, Kenosha, WI 53142 Phone: 262-674-3718
Shonda Lynn Gagliano, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 7723 32nd Ave, Kenosha, WI 53142 Phone: 262-573-4549
Victoria Mahboub, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6014 41st Ave, Kenosha, WI 53142 Phone: 262-818-3531
Jennifer Brau, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4633 Washington Rd, Kenosha, WI 53144 Phone: 262-652-7222

Mr Paul Michael Defazio, MSW - Medicare Clinical Social Worker in Kenosha, WI