Judith Kisicki, MD in Waukesha, WI - Medicare Psychiatry & Neurology

Judith Kisicki, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Waukesha, Wisconsin. Her current practice location is Behavioral Medicine Center, 721 American Avenue Suite 501, Waukesha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 928-2396.

Judith Kisicki is licensed to practice in Wisconsin (license number 35592) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1306819925.

Contact Information

	Judith Kisicki, MD
	Behavioral Medicine Center, 721 American Avenue Suite 501, Waukesha, WI 53188
	(262) 928-2396
	(262) 544-1213

Map and Direction

Physician's Profile

Full Name	Judith Kisicki
Gender	Female
Speciality	Psychiatry & Neurology - Psychiatry
Location	Behavioral Medicine Center, Waukesha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306819925
Provider Enumeration Date: 02/13/2006
Last Update Date: 04/09/2013

Medicare PECOS Information:

PECOS PAC ID: 4789821083
Enrollment ID: I20161017000789

Medical Identifiers

Medical identifiers for Judith Kisicki such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306819925	NPI	-	NPPES
32060400	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	35592 (Wisconsin)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Judith Kisicki allows following entities to bill medicare on her behalf.

Entity Name	Broadlawns Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467447508 PECOS PAC ID: 3678466166 Enrollment ID: O20040206000913

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. Judith Kisicki is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Judith Kisicki, MD Behavioral Medicine Center, 721 American Avenue Suite 501, Waukesha, WI 53188 Ph: (262) 928-2396	Judith Kisicki, MD Behavioral Medicine Center, 721 American Avenue Suite 501, Waukesha, WI 53188 Ph: (262) 928-2396

Reviews and Comments

Psychiatry & Neurology Doctors in Waukesha, WI

Dr. Thomas Jerome Wilson, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 500 Riverview Ave, Waukesha, WI 53188 Phone: 262-548-7666 Fax: 262-548-7656
Dr. Malti Mahendra Patel, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 514 Riverview Ave, Waukesha, WI 53188 Phone: 262-548-7665 Fax: 262-970-6696
Dr. Maritoni Molina Abraham, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 20700 Watertown Rd, Suite 102, Waukesha, WI 53186 Phone: 262-782-1474 Fax: 262-782-1441
Paul Larson, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 721 American Avenue Suite 501, Phc Behavioral Medicine Center, Waukesha, WI 53188 Phone: 262-928-2396 Fax: 262-544-1213
Randall B Steinhaus, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 721 American Ave, Suite 501, Waukesha, WI 53188 Phone: 262-928-2396
Dr. Stanya Smith, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1111 Delafield St Ste 105, Waukesha, WI 53188 Phone: 262-542-9503 Fax: 262-542-8447
Gobind Kang-chahal, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 514 Riverview Ave, Waukesha, WI 53188 Phone: 262-548-7666

Judith Kisicki, MD - Medicare Psychiatry & Neurology in Waukesha, WI