Alix Geneva Shepherd, is a
Psychologist - Clinical based in Milwaukee, Wisconsin. Alix Geneva Shepherd is licensed to practice in Wisconsin (license number 4093-57) and her current practice location is
316 N Milwaukee St Ste 401, Milwaukee, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(414) 758-8395.
NPI number for Alix Geneva Shepherd is 1467987859 and her current mailing address is 316 N Milwaukee St Ste 401, Milwaukee, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1467987859.
Healthcare Provider's Profile
| Full Name | Alix Geneva Shepherd |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 316 N Milwaukee St Ste 401, Milwaukee, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1467987859
- Provider Enumeration Date: 04/24/2017
- Last Update Date: 02/23/2023
Medical Identifiers
Medical identifiers for Alix Geneva Shepherd such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1467987859 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 4093-57 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alix Geneva Shepherd is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Alix Geneva Shepherd, 316 N Milwaukee St Ste 401, Milwaukee, WI 53202-5925 Ph: (414) 758-8395 | Alix Geneva Shepherd, 316 N Milwaukee St Ste 401, Milwaukee, WI 53202-5925 Ph: (414) 758-8395 |
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