| Mr Everest Cameron Brooks, LCSW | |
|
12970 W Bluemound Rd, Suite 105, Elm Grove, WI 53122-2607 | |
| (262) 787-2907 | |
| Not Available |
| Full Name | Mr Everest Cameron Brooks |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 22 Years |
| Location | 12970 W Bluemound Rd, Elm Grove, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184631624 | NPI | - | NPPES |
| 43722400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 7364-123 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Affiliated Clinical Services Inc | 0244124899 | 20 |
| Entity Name | Fond Du Lac County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053458935 PECOS PAC ID: 2668376245 Enrollment ID: O20031125000279 |
| Entity Name | Affiliated Clinical Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851473698 PECOS PAC ID: 0244124899 Enrollment ID: O20040212000835 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Everest Cameron Brooks, LCSW 12970 W Bluemound Rd, Suite 105, Elm Grove, WI 53122-2607 Ph: (262) 787-2907 | Mr Everest Cameron Brooks, LCSW 12970 W Bluemound Rd, Suite 105, Elm Grove, WI 53122-2607 Ph: (262) 787-2907 |
Ms. Anne Catherine Paczesny, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 890 Elm Grove Rd, Suite 208, Elm Grove, WI 53122 Phone: 414-403-0524 Fax: 262-285-3286 | |
Gary D Heath, LCSW, LMFT Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12970 W Bluemound Rd, Suite 105, Elm Grove, WI 53122 Phone: 262-787-2904 Fax: 262-787-2909 | |
Ariel Namowicz Kloss, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 15285 Watertown Plank Rd Ste 102, Elm Grove, WI 53122 Phone: 414-552-8242 | |
Theresa Joan Zakutansky, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 910 Elm Grove Rd Ste 11b, Elm Grove, WI 53122 Phone: 262-780-1001 Fax: 262-780-1002 | |
Ms. Anna M Weaver, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 740 Pilgrim Pkwy Ste 104, Elm Grove, WI 53122 Phone: 262-349-0515 | |
Laura Lynn Schulz, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 500 Elm Grove Rd, Ste 325, Elm Grove, WI 53122 Phone: 414-453-8380 |