Lakefront Wellness Center, Sc - Medicare Mental Health Clinic in Pewaukee, WI

Lakefront Wellness Center, Sc is a medicare enrolled mental health clinic (Psychologist - Clinical) in Pewaukee, Wisconsin. The current practice location for Lakefront Wellness Center, Sc is 161 W Wisconsin Ave Ste 2b, Pewaukee, Wisconsin. For appointments, you can reach them via phone at (262) 695-8857. The mailing address for Lakefront Wellness Center, Sc is 161 W Wisconsin Ave Ste 2b, Pewaukee, Wisconsin and phone number is (262) 695-8857.

Lakefront Wellness Center, Sc is licensed to practice in Wisconsin (license number 2437). The clinic also participates in the medicare program and its NPI number is 1316024847. 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) 695-8857.

Contact Information

Lakefront Wellness Center, Sc
161 W Wisconsin Ave Ste 2b
Pewaukee
WI 53072-3468
(262) 695-8857
(262) 695-8879

Mental Health Clinic Profile

Full NameLakefront Wellness Center, Sc
SpecialityPsychologist
Location161 W Wisconsin Ave Ste 2b, Pewaukee, Wisconsin
Authorized Official Name and PositionBeth A. Johnson (DIRECTOR)
Authorized Official Contact2626958857
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lakefront Wellness Center, Sc
161 W Wisconsin Ave Ste 2b
Pewaukee
WI 53072-3468

Ph: (262) 695-8857
Lakefront Wellness Center, Sc
161 W Wisconsin Ave Ste 2b
Pewaukee
WI 53072-3468

Ph: (262) 695-8857

NPI Details:

NPI Number1316024847
Provider Enumeration Date11/01/2006
Last Update Date08/27/2013

Medicare PECOS Information:

Medicare PECOS PAC ID5193719334
Medicare Enrollment IDO20040412000962

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Medical Identifiers

Medical identifiers for Lakefront Wellness Center, Sc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316024847NPI-NPPES
42230900MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 2437 (Wisconsin)Secondary
103T00000XPsychologist 2437 (Wisconsin)Secondary
103TC0700XPsychologist - Clinical 2437 (Wisconsin)Primary
1041C0700XSocial Worker - Clinical 2437 (Wisconsin)Secondary
106H00000XMarriage & Family Therapist 2437 (Wisconsin)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Lakefront Wellness Center, Sc acts as a billing entity for following providers:
Provider NameKim M Gorecki
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1649361775
PECOS PAC ID: 8426062142
Enrollment ID: I20060202000277

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Provider NameBeth A Johnson
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1811925613
PECOS PAC ID: 6608860853
Enrollment ID: I20060302000696

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Psychologist in Pewaukee, WI

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Alay Health Team
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Practice Location: 2351 Silvernail Rd, Pewaukee, WI 53072
Phone: 262-260-9000    Fax: 262-260-9109
Barbara C Sieck Llc
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Practice Location: 325 Forest Grove Dr, Suite 201, Pewaukee, WI 53072
Phone: 262-899-2106    
Community Medical Services Pewaukee
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Medicare: Not Enrolled in Medicare
Practice Location: 1611 Silvernail Rd, Pewaukee, WI 53072
Phone: 262-304-0150    Fax: 262-933-4244
Pediatric Neuropsychology And Treatment Associates, Sc
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Medicare: Not Enrolled in Medicare
Practice Location: N27w23953 Paul Rd, Ste. 206, Pewaukee, WI 53072
Phone: 262-347-0701    Fax: 262-347-0705

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