Providence Psychiatric Services S C - Medicare Mental Health Clinic in Brookfield, WI

Providence Psychiatric Services S C is a medicare enrolled mental health clinic (Psychiatry & Neurology - Psychiatry) in Brookfield, Wisconsin. The current practice location for Providence Psychiatric Services S C is 333 Bishops Way Ste 102, Brookfield, Wisconsin. For appointments, you can reach them via phone at (414) 239-3172. The mailing address for Providence Psychiatric Services S C is 333 Bishops Way Ste 102, Brookfield, Wisconsin and phone number is (414) 239-3172.

Providence Psychiatric Services S C is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1376272500. 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) 239-3172.

Contact Information

Providence Psychiatric Services S C
333 Bishops Way Ste 102
Brookfield
WI 53005-6209
(414) 239-3172
Not Available

Mental Health Clinic Profile

Full NameProvidence Psychiatric Services S C
SpecialityPsychiatry & Neurology
Location333 Bishops Way Ste 102, Brookfield, Wisconsin
Authorized Official Name and PositionMary L Pintarro (PRESIDENT)
Authorized Official Contact4142393172
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Providence Psychiatric Services S C
333 Bishops Way Ste 102
Brookfield
WI 53005-6209

Ph: (414) 239-3172
Providence Psychiatric Services S C
333 Bishops Way Ste 102
Brookfield
WI 53005-6209

Ph: (414) 239-3172

NPI Details:

NPI Number1376272500
Provider Enumeration Date06/04/2022
Last Update Date06/04/2022
Certification Date06/04/2022

Medicare PECOS Information:

Medicare PECOS PAC ID1850770637
Medicare Enrollment IDO20220624001471

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Medical Identifiers

Medical identifiers for Providence Psychiatric Services S C such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376272500NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry (* (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. Providence Psychiatric Services S C acts as a billing entity for following providers:
Provider NameMary Pintarro
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689310179
PECOS PAC ID: 2769861541
Enrollment ID: I20220624001529

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