| Devin Coogan, | |
|
330 W Lakeside St, Madison, WI 53715-2072 | |
| (608) 561-7533 | |
| Not Available |
| Full Name | Devin Coogan |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 330 W Lakeside St, Madison, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740762327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 8961 (Wisconsin) | Primary |
| Entity Name | Metta Bhavana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386370476 PECOS PAC ID: 1557737368 Enrollment ID: O20221019002614 |
| Mailing Address | Practice Location Address |
|---|---|
| Devin Coogan, 302 Van Deusen St, Madison, WI 53715-2067 Ph: (505) 231-6658 | Devin Coogan, 330 W Lakeside St, Madison, WI 53715-2072 Ph: (608) 561-7533 |
Ms. Leah Allison Finch, CAPSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2500 Overlook Ter, Madison, WI 53705 Phone: 608-256-1901 | |
Victoria Rose Dietz, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 133 S Butler St Ste 106, Madison, WI 53703 Phone: 608-218-1440 | |
Mr. Thomas A Oconnor, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5534 Medical Circle, Madison, WI 53719 Phone: 608-274-0355 Fax: 608-274-5546 | |
Ms. Fran L Degraff, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2727 Marshall Ct, Madison, WI 53705 Phone: 608-238-9354 Fax: 608-238-7675 | |
Thorsten W. Horton, PHD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 700 Ray O Vac Dr, Suite 220, Madison, WI 53711 Phone: 608-276-9191 Fax: 608-276-9144 | |
Jennifer J Ebbott, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 831 E Washington Ave, Madison, WI 53703 Phone: 608-255-7356 | |
Erin Thomson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1500 Highland Ave, Room 102, Madison, WI 53705 Phone: 608-263-5815 |