Whitestar Wellness Sc - Medicare Mental Health Clinic in Brookfield, WI

Whitestar Wellness Sc is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Brookfield, Wisconsin. The current practice location for Whitestar Wellness Sc is 4685 Pilgrim Rd, Brookfield, Wisconsin. For appointments, you can reach them via phone at (414) 630-2743. The mailing address for Whitestar Wellness Sc is 4685 Pilgrim Rd, Brookfield, Wisconsin and phone number is () -.

Whitestar Wellness Sc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1205566353. 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) 630-2743.

Contact Information

Whitestar Wellness Sc
4685 Pilgrim Rd
Brookfield
WI 53005-1556
(414) 630-2743
Not Available

Mental Health Clinic Profile

Full NameWhitestar Wellness Sc
SpecialityClinic/Center
Location4685 Pilgrim Rd, Brookfield, Wisconsin
Authorized Official Name and PositionAriel Namowicz (OWNER)
Authorized Official Contact2743414630
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Whitestar Wellness Sc
4685 Pilgrim Rd
Brookfield
WI 53005-1556

Ph: () -
Whitestar Wellness Sc
4685 Pilgrim Rd
Brookfield
WI 53005-1556

Ph: (414) 630-2743

NPI Details:

NPI Number1205566353
Provider Enumeration Date06/13/2022
Last Update Date09/13/2022
Certification Date08/30/2022

Medicare PECOS Information:

Medicare PECOS PAC ID1355725102
Medicare Enrollment IDO20220829002577

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Medical Identifiers

Medical identifiers for Whitestar Wellness Sc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205566353NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
104100000XSocial Worker (* (Not Available))Secondary
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. Whitestar Wellness Sc acts as a billing entity for following providers:
Provider NameAriel Marie Namowicz
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1164068565
PECOS PAC ID: 2264816016
Enrollment ID: I20221112000106

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Trueblood Psychological Services, Llc
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