Affiliated Clinical Services Inc - Medicare Primary Care in West Bend, WI

Affiliated Clinical Services Inc is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in West Bend, Wisconsin. The current practice location for Affiliated Clinical Services Inc is 111 E Washington St, West Bend, Wisconsin. For appointments, you can reach them via phone at (262) 338-2717. The mailing address for Affiliated Clinical Services Inc is 111 E Washington St, West Bend, Wisconsin and phone number is (262) 338-2717.

Affiliated Clinical Services Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1851473698. 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 (262) 338-2717.

Contact Information

Affiliated Clinical Services Inc
111 E Washington St
West Bend
WI 53095-2571
(262) 338-2717
(262) 338-9767

Map and Direction


Primary Care Clinic Profile

Full NameAffiliated Clinical Services Inc
SpecialityClinic/Center
Location111 E Washington St, West Bend, Wisconsin
Authorized Official Name and PositionKelli Feucht (ASSISTANT BUSINESS MANAGER)
Authorized Official Contact2623382717
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Affiliated Clinical Services Inc
111 E Washington St
West Bend
WI 53095-2571

Ph: (262) 338-2717
Affiliated Clinical Services Inc
111 E Washington St
West Bend
WI 53095-2571

Ph: (262) 338-2717

NPI Details:

NPI Number1851473698
Provider Enumeration Date10/20/2006
Last Update Date07/21/2022

Medicare PECOS Information:

Medicare PECOS PAC ID0244124899
Medicare Enrollment IDO20040212000835

Medical Identifiers

Medical identifiers for Affiliated Clinical Services Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851473698NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM1300XClinic/center - Multi-specialty (* (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. Affiliated Clinical Services Inc acts as a billing entity for following providers:
Provider NameWess R Vogt
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1023124708
PECOS PAC ID: 0143110783
Enrollment ID: I20040317001474
Provider NameSrutha Rajkumar
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1801887914
PECOS PAC ID: 0345207957
Enrollment ID: I20041215000740
Provider NamePatricia R Keuck
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1740380807
PECOS PAC ID: 9133146459
Enrollment ID: I20051026000854
Provider NameLonna Lee Taylor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184658098
PECOS PAC ID: 8628081007
Enrollment ID: I20060802000087
Provider NameMary J Gonwa
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1477661767
PECOS PAC ID: 1658376462
Enrollment ID: I20060929000521
Provider NameRajesh Kumar
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1194800557
PECOS PAC ID: 2567356124
Enrollment ID: I20101018001000
Provider NameJames K Giese
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1417057555
PECOS PAC ID: 2668509936
Enrollment ID: I20140918001918
Provider NameDavid Michael Mcmahon
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1457662249
PECOS PAC ID: 4880840271
Enrollment ID: I20141212001730
Provider NameMelissa A Geason
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1821452095
PECOS PAC ID: 2769780303
Enrollment ID: I20160414000459
Provider NameAbby Janssen
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1093238131
PECOS PAC ID: 8921373374
Enrollment ID: I20171011000025
Provider NameMical Gustave Schaffer
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1043571771
PECOS PAC ID: 8022359249
Enrollment ID: I20190416001035
Provider NameAlyssa L Sekadlo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043768724
PECOS PAC ID: 5092047688
Enrollment ID: I20191031001644
Provider NameCarl T Vitense
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1811282536
PECOS PAC ID: 8628402120
Enrollment ID: I20191216001284
Provider NameRyanne B Wendt
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1174115935
PECOS PAC ID: 8527475573
Enrollment ID: I20210318002361
Provider NameShelby A Brandsma
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1992458376
PECOS PAC ID: 8022403625
Enrollment ID: I20220317001541
Provider NameKang Yang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801527841
PECOS PAC ID: 5294118147
Enrollment ID: I20220812001088
Provider NameTiffany Dubey
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1013612217
PECOS PAC ID: 6800252289
Enrollment ID: I20230510003000
Provider NameSean Patrick Fauls
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1750490264
PECOS PAC ID: 7214387869
Enrollment ID: I20231222002366
Provider NameCraig A Groskreutz
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1376015701
PECOS PAC ID: 5890145296
Enrollment ID: I20231227003048
Provider NameJenna Koch
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1609450352
PECOS PAC ID: 0648620674
Enrollment ID: I20240103000693
Provider NameKellyn Ann Henke
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1306346614
PECOS PAC ID: 2466802459
Enrollment ID: I20240103003175
Provider NameJulie Anne Rocheleau
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1144725615
PECOS PAC ID: 3870944838
Enrollment ID: I20240104000697
Provider NameAriana Anderson
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1497352074
PECOS PAC ID: 0345685350
Enrollment ID: I20240229002885
Provider NameElizabeth Paasch
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1073866059
PECOS PAC ID: 5395181804
Enrollment ID: I20240306004223

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.