Daniel Goeckner Phd Llc - Medicare Mental Health Clinic in Mequon, WI

Daniel Goeckner Phd Llc is a medicare enrolled mental health clinic (Psychologist) in Mequon, Wisconsin. The current practice location for Daniel Goeckner Phd Llc is 11649 N Port Washington Rd Ste 206, Mequon, Wisconsin. For appointments, you can reach them via phone at (262) 241-9990. The mailing address for Daniel Goeckner Phd Llc is 11649 N Port Washington Rd Ste 206, Mequon, Wisconsin and phone number is (262) 241-9990.

Daniel Goeckner Phd Llc is licensed to practice in Wisconsin (license number 850-57). The clinic also participates in the medicare program and its NPI number is 1194090639. 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 (262) 241-9990.

Contact Information

Daniel Goeckner Phd Llc
11649 N Port Washington Rd Ste 206
Mequon
WI 53092
(262) 241-9990
Not Available

Mental Health Clinic Profile

Full NameDaniel Goeckner Phd Llc
SpecialityPsychologist
Location11649 N Port Washington Rd Ste 206, Mequon, Wisconsin
Authorized Official Name and PositionDaniel Goeckner (OWNER)
Authorized Official Contact2622419990
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Daniel Goeckner Phd Llc
11649 N Port Washington Rd Ste 206
Mequon
WI 53092-3459

Ph: (262) 241-9990
Daniel Goeckner Phd Llc
11649 N Port Washington Rd Ste 206
Mequon
WI 53092

Ph: (262) 241-9990

NPI Details:

NPI Number1194090639
Provider Enumeration Date03/16/2012
Last Update Date05/22/2018

Medicare PECOS Information:

Medicare PECOS PAC ID4082877873
Medicare Enrollment IDO20120514000655

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Medical Identifiers

Medical identifiers for Daniel Goeckner Phd Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194090639NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 850-57 (Wisconsin)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Daniel Goeckner Phd Llc acts as a billing entity for following providers:
Provider NameDaniel J Goeckner
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1982687018
PECOS PAC ID: 9032301957
Enrollment ID: I20101011001078

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