Jerry Kahn Therapy, Llc - Medicare Mental Health Clinic in Wauwatosa, WI

Jerry Kahn Therapy, Llc is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Wauwatosa, Wisconsin. The current practice location for Jerry Kahn Therapy, Llc is 10855 W Potter Rd Ste 28, Wauwatosa, Wisconsin. For appointments, you can reach them via phone at (414) 803-7238. The mailing address for Jerry Kahn Therapy, Llc is 10855 W Potter Rd Ste 28, Wauwatosa, Wisconsin and phone number is (414) 803-7238.

Jerry Kahn Therapy, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1104591114. 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) 803-7238.

Contact Information

Jerry Kahn Therapy, Llc
10855 W Potter Rd Ste 28
Wauwatosa
WI 53226-3439
(414) 803-7238
Not Available

Mental Health Clinic Profile

Full NameJerry Kahn Therapy, Llc
SpecialityClinic/Center
Location10855 W Potter Rd Ste 28, Wauwatosa, Wisconsin
Authorized Official Name and PositionJerry M Kahn (LCSW)
Authorized Official Contact4148037238
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jerry Kahn Therapy, Llc
10855 W Potter Rd Ste 28
Wauwatosa
WI 53226-3439

Ph: (414) 803-7238
Jerry Kahn Therapy, Llc
10855 W Potter Rd Ste 28
Wauwatosa
WI 53226-3439

Ph: (414) 803-7238

NPI Details:

NPI Number1104591114
Provider Enumeration Date08/11/2021
Last Update Date11/01/2021
Certification Date11/01/2021

Medicare PECOS Information:

Medicare PECOS PAC ID2961800164
Medicare Enrollment IDO20211220001571

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Medical Identifiers

Medical identifiers for Jerry Kahn Therapy, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104591114NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (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. Jerry Kahn Therapy, Llc acts as a billing entity for following providers:
Provider NameJerry M Kahn
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1063819803
PECOS PAC ID: 9436359072
Enrollment ID: I20191202000304

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