Creating Space, Llc in Madison, WI - Medicare Social Worker

Creating Space, Llc is a medicare enrolled mental health clinic (Social Worker - Clinical) in Madison, Wisconsin. The current practice location for Creating Space, Llc is 1915 Winnebago St Ste 101, Madison, Wisconsin. For appointments, you can reach them via phone at (608) 205-8205. The mailing address for Creating Space, Llc is 1915 Winnebago St Ste 101, Madison, Wisconsin and phone number is (608) 205-8205.

Creating Space, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1003436759. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (608) 205-8205.

Contact Information

	Creating Space, Llc
	1915 Winnebago St Ste 101 Madison WI 53704-5322
	(608) 205-8205
	(608) 999-7313

Map and Direction

Mental Health Clinic Profile

Full Name	Creating Space, Llc
Speciality	Social Worker
Location	1915 Winnebago St Ste 101, Madison, Wisconsin
Authorized Official Name and Position	Abigail Halloran (OWNER)
Authorized Official Contact	6082058205
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Creating Space, Llc 1915 Winnebago St Ste 101 Madison WI 53704-5322 Ph: (608) 205-8205	Creating Space, Llc 1915 Winnebago St Ste 101 Madison WI 53704-5322 Ph: (608) 205-8205

NPI Details:

NPI Number	1003436759
Provider Enumeration Date	04/23/2020
Last Update Date	04/23/2020
Certification Date	04/23/2020

Medicare PECOS Information:

Medicare PECOS PAC ID	2668893439
Medicare Enrollment ID	O20200603000586

Medical Identifiers

Medical identifiers for Creating Space, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003436759	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Creating Space, Llc acts as a billing entity for following providers:

Provider Name	Abigail S Halloran
Provider Type	Practitioner - Clinical Social Worker
Provider Identifiers	NPI Number: 1528465473 PECOS PAC ID: 3476974254 Enrollment ID: I20200603000750

Reviews and Comments

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Creating Space, Llc - Medicare Mental Health Clinic in Madison, WI