Keri Brown Phd, Llc - Medicare Mental Health Clinic in Black Earth, WI

Keri Brown Phd, Llc is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Black Earth, Wisconsin. The current practice location for Keri Brown Phd, Llc is 4752 Old Indian Trl, Black Earth, Wisconsin. For appointments, you can reach them via phone at (608) 370-2345. The mailing address for Keri Brown Phd, Llc is Po Box 322, Black Earth, Wisconsin and phone number is (608) 370-2345.

Keri Brown Phd, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1477262061. 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) 370-2345.

Contact Information

Keri Brown Phd, Llc
4752 Old Indian Trl
Black Earth
WI 53515-9745
(608) 370-2345
Not Available

Mental Health Clinic Profile

Full NameKeri Brown Phd, Llc
SpecialityClinic/Center
Location4752 Old Indian Trl, Black Earth, Wisconsin
Authorized Official Name and PositionKeri R Brown (CEO)
Authorized Official Contact6083702345
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Keri Brown Phd, Llc
Po Box 322
Black Earth
WI 53515

Ph: (608) 370-2345
Keri Brown Phd, Llc
4752 Old Indian Trl
Black Earth
WI 53515-9745

Ph: (608) 370-2345

NPI Details:

NPI Number1477262061
Provider Enumeration Date11/22/2022
Last Update Date11/22/2022
Certification Date11/22/2022

Medicare PECOS Information:

Medicare PECOS PAC ID1850761800
Medicare Enrollment IDO20230109000493

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Medical Identifiers

Medical identifiers for Keri Brown Phd, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477262061NPI-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. Keri Brown Phd, Llc acts as a billing entity for following providers:
Provider NameKeri R Brown
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1013209352
PECOS PAC ID: 9638341670
Enrollment ID: I20230329003236

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Clinic/Center in Black Earth, WI


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