| Rogers Behavioral Health - Wisconsin Sc | |
|
34700 Valley Rd Oconomowoc WI 53066-4500 | |
| (800) 767-4411 | |
| Not Available |
| Full Name | Rogers Behavioral Health - Wisconsin Sc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 34700 Valley Rd, Oconomowoc, Wisconsin |
| Authorized Official Name and Position | Cindy Meyer (PRESIDENT AND CEO) |
| Authorized Official Contact | 2623030580 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rogers Behavioral Health - Wisconsin Sc 34700 Valley Rd Oconomowoc WI 53066-4500 Ph: (262) 646-4411 | Rogers Behavioral Health - Wisconsin Sc 34700 Valley Rd Oconomowoc WI 53066-4500 Ph: (800) 767-4411 |
| NPI Number | 1699524751 |
|---|---|
| Provider Enumeration Date | 05/13/2024 |
| Last Update Date | 01/23/2025 |
| Certification Date | 01/23/2025 |
| Medicare PECOS PAC ID | 4486175122 |
|---|---|
| Medicare Enrollment ID | O20250310003530 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699524751 | NPI | - | NPPES |
| Provider Name | Jerry L Halverson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952360422 PECOS PAC ID: 0840265484 Enrollment ID: I20040827000820 |
| Provider Name | Upton H Thomas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013947696 PECOS PAC ID: 8729047568 Enrollment ID: I20041007000013 |
| Provider Name | Abdul Mateen Khazi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023208592 PECOS PAC ID: 8426109752 Enrollment ID: I20090626000507 |
| Provider Name | Aman Mahajan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932411584 PECOS PAC ID: 3072751197 Enrollment ID: I20150729008374 |
| Provider Name | Nathan A Valentine |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932372778 PECOS PAC ID: 2264682061 Enrollment ID: I20150925000051 |
| Provider Name | Christopher R Takala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013203652 PECOS PAC ID: 9032366638 Enrollment ID: I20160817001929 |
| Provider Name | Jeremy A Chapman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417301839 PECOS PAC ID: 3274892773 Enrollment ID: I20180108002518 |
| Provider Name | Sean Robert Lenoue |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750670683 PECOS PAC ID: 4486894896 Enrollment ID: I20181112001444 |
| Provider Name | Christina Lynn Roberts |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649709171 PECOS PAC ID: 5890063937 Enrollment ID: I20201223001597 |
| Provider Name | Courtney Lauren Pflughoeft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992399067 PECOS PAC ID: 2769899079 Enrollment ID: I20210405001137 |
| Provider Name | Gregory M Evangelatos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659725448 PECOS PAC ID: 3870927437 Enrollment ID: I20210623002582 |
| Provider Name | Angela M Shengena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215606124 PECOS PAC ID: 6204205883 Enrollment ID: I20221205001413 |
| Provider Name | Matthew Bohr |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275039281 PECOS PAC ID: 6901153550 Enrollment ID: I20230126001479 |
| Provider Name | Daniel Peter Mccool |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891415154 PECOS PAC ID: 6002272333 Enrollment ID: I20230511002398 |
| Provider Name | Stephen Chen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376122135 PECOS PAC ID: 2860894086 Enrollment ID: I20240802001140 |
| Provider Name | Morgan E Barnett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427798792 PECOS PAC ID: 6406230606 Enrollment ID: I20240917000375 |
| Provider Name | Stephani D Lohman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215702618 PECOS PAC ID: 4082143052 Enrollment ID: I20250122000143 |
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