Grace Healing And Wellness Center, Llc. - Medicare Mental Health Clinic in Pewaukee, WI

Grace Healing And Wellness Center, Llc. is a medicare enrolled mental health clinic (Psychologist - Clinical) in Pewaukee, Wisconsin. The current practice location for Grace Healing And Wellness Center, Llc. is N28w23000 Roundy Dr Ste 105, Pewaukee, Wisconsin. For appointments, you can reach them via phone at (414) 350-6693. The mailing address for Grace Healing And Wellness Center, Llc. is N28w23000 Roundy Dr Ste 105, Pewaukee, Wisconsin and phone number is (414) 350-6693.

Grace Healing And Wellness Center, Llc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1467190694. 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 (414) 350-6693.

Contact Information

Grace Healing And Wellness Center, Llc.
N28w23000 Roundy Dr Ste 105
Pewaukee
WI 53072-7300
(414) 350-6693
Not Available

Mental Health Clinic Profile

Full NameGrace Healing And Wellness Center, Llc.
SpecialityPsychologist
LocationN28w23000 Roundy Dr Ste 105, Pewaukee, Wisconsin
Authorized Official Name and PositionAngelique Lewis (PSYCHOLOGIST)
Authorized Official Contact4143506693
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Grace Healing And Wellness Center, Llc.
N28w23000 Roundy Dr Ste 105
Pewaukee
WI 53072-7300

Ph: (414) 350-6693
Grace Healing And Wellness Center, Llc.
N28w23000 Roundy Dr Ste 105
Pewaukee
WI 53072-7300

Ph: (414) 350-6693

NPI Details:

NPI Number1467190694
Provider Enumeration Date05/26/2022
Last Update Date05/26/2022
Certification Date05/26/2022

Medicare PECOS Information:

Medicare PECOS PAC ID3971986506
Medicare Enrollment IDO20220815003554

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Medical Identifiers

Medical identifiers for Grace Healing And Wellness Center, Llc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467190694NPI-NPPES
100003219MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - 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. Grace Healing And Wellness Center, Llc. acts as a billing entity for following providers:
Provider NameAngelique W Lewis
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1295979714
PECOS PAC ID: 1355525510
Enrollment ID: I20110412000948

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