Creating Space, Llc - Medicare Mental Health Clinic in Madison, WI

Creating Space, Llc is a medicare enrolled mental health clinic (Social Worker - Clinical) in Madison, Wisconsin. The current practice location for Creating Space, Llc is 1915 Winnebago St Ste 101, Madison, Wisconsin. For appointments, you can reach them via phone at (608) 205-8205. The mailing address for Creating Space, Llc is 1915 Winnebago St Ste 101, Madison, Wisconsin and phone number is (608) 205-8205.

Creating Space, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1003436759. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (608) 205-8205.

Contact Information

Creating Space, Llc
1915 Winnebago St Ste 101
Madison
WI 53704-5322
(608) 205-8205
(608) 999-7313

Mental Health Clinic Profile

Full NameCreating Space, Llc
SpecialitySocial Worker
Location1915 Winnebago St Ste 101, Madison, Wisconsin
Authorized Official Name and PositionAbigail Halloran (OWNER)
Authorized Official Contact6082058205
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Creating Space, Llc
1915 Winnebago St Ste 101
Madison
WI 53704-5322

Ph: (608) 205-8205
Creating Space, Llc
1915 Winnebago St Ste 101
Madison
WI 53704-5322

Ph: (608) 205-8205

NPI Details:

NPI Number1003436759
Provider Enumeration Date04/23/2020
Last Update Date04/23/2020
Certification Date04/23/2020

Medicare PECOS Information:

Medicare PECOS PAC ID2668893439
Medicare Enrollment IDO20200603000586

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Medical Identifiers

Medical identifiers for Creating Space, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003436759NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Creating Space, Llc acts as a billing entity for following providers:
Provider NameAbigail S Halloran
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1528465473
PECOS PAC ID: 3476974254
Enrollment ID: I20200603000750

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