| Dr Theresa Kathryn Umhoefer, MD | |
|
3807 Spring St, Mount Pleasant, WI 53405-1667 | |
| (262) 687-8282 | |
| Not Available |
| Full Name | Dr Theresa Kathryn Umhoefer |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 3807 Spring St, Mount Pleasant, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720349269 | NPI | - | NPPES |
| 100069400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 66185 (Wisconsin) | Primary |
| 208000000X | Pediatrics | 66185 (Wisconsin) | Secondary |
| Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Theresa Kathryn Umhoefer, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Dr Theresa Kathryn Umhoefer, MD 3807 Spring St, Mount Pleasant, WI 53405-1667 Ph: (262) 687-8282 |
Michael James Mitchell, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 13250 Washington Ave, Mount Pleasant, WI 53177 Phone: 888-720-2012 | |
Dr. William Paul Bake, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3805b Spring St, Mount Pleasant, WI 53405 Phone: 262-687-8322 Fax: 262-687-6107 | |
Dr. Jonathan Michael Johnson, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 8307 Creek View Ln, Mount Pleasant, WI 53406 Phone: 347-756-1552 | |
Dr. Simran K Singh, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 13250 Washington Ave, Mount Pleasant, WI 53177 Phone: 888-720-2012 |