| Ms Pratibha Srivastava, | |
|
15875 Brook Ln, Brookfield, WI 53005-1460 | |
| (262) 527-1359 | |
| Not Available |
| Full Name | Ms Pratibha Srivastava |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 38 Years |
| Location | 15875 Brook Ln, Brookfield, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851845978 | NPI | - | NPPES |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brightside Medical Pa | 3678948809 | 92 |
| Talkspace Provider Network Pa | 5799136701 | 260 |
| Talkspace Provider Network Pa | 5799136701 | 260 |
| Entity Name | Brightside Medical Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609335660 PECOS PAC ID: 3678948809 Enrollment ID: O20230525002664 |
| Entity Name | Talkspace Provider Network Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639814049 PECOS PAC ID: 5799136701 Enrollment ID: O20240415002987 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Pratibha Srivastava, 15875 Brook Ln, Brookfield, WI 53005-1460 Ph: (262) 527-1359 | Ms Pratibha Srivastava, 15875 Brook Ln, Brookfield, WI 53005-1460 Ph: (262) 527-1359 |
Heather Lynn Kindschy, LCSW-BACS Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 14755 W Capitol Dr Ste 100, Brookfield, WI 53005 Phone: 262-781-3065 | |
Renee L Genin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2515 N 124th St, Suite 101, Brookfield, WI 53005 Phone: 262-641-4347 | |
Josie Jean Elmer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 20725 W North Avenue, Brookfield, WI 53045 Phone: 608-335-6441 | |
Sarah Alice Clubb, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 150 N Sunny Slope Rd Ste 372, Brookfield, WI 53005 Phone: 414-302-1233 | |
Elizabeth Kelly, Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005 Phone: 262-789-1191 | |
Kathleen Ward Jorgensen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1650 Hamilton Dr, Brookfield, WI 53045 Phone: 312-399-8688 | |
Ashley E Maas, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16535 W Bluemound Rd Ste 305, Brookfield, WI 53005 Phone: 800-438-1772 Fax: 262-293-9737 |