| Matters Of The Spirit Llc | |
|
12645 W Burleigh Rd Ste 19 Brookfield WI 53005-3102 | |
| (262) 432-0670 | |
| (262) 475-0412 |
| Full Name | Matters Of The Spirit Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 12645 W Burleigh Rd Ste 19, Brookfield, Wisconsin |
| Authorized Official Name and Position | Tina Sanford (DIRECTOR) |
| Authorized Official Contact | 2624320670 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Matters Of The Spirit Llc 12645 W Burleigh Rd Ste 19 Brookfield WI 53005-3102 Ph: (262) 432-0670 | Matters Of The Spirit Llc 12645 W Burleigh Rd Ste 19 Brookfield WI 53005-3102 Ph: (262) 432-0670 |
| NPI Number | 1649661711 |
|---|---|
| Provider Enumeration Date | 02/11/2015 |
| Last Update Date | 09/12/2023 |
| Medicare PECOS PAC ID | 7810231727 |
|---|---|
| Medicare Enrollment ID | O20181204001998 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649661711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
| Provider Name | Edward G Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700062155 PECOS PAC ID: 8921179979 Enrollment ID: I20080618000448 |
| Provider Name | Gerald E Sullivan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760683551 PECOS PAC ID: 8123258001 Enrollment ID: I20140310001640 |
Douglas Lloyd Brown, M.d., S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 17160 W North Ave Ste 202, Brookfield, WI 53005 Phone: 262-797-6770 Fax: 262-797-6772 | |
Lorelle M Manion, Md, Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1305 N Barker Rd, Suite 1, Brookfield, WI 53045 Phone: 262-784-3200 Fax: 262-784-8198 | |
Towne Centre Medical, S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19035 W Capitol Dr, Suite 101, Brookfield, WI 53045 Phone: 262-754-1421 Fax: 262-754-3760 | |
Christian Family Solutions Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16535 W Bluemound Rd, Suite 305, Brookfield, WI 53005 Phone: 800-438-1772 Fax: 262-293-9737 | |
Elmbrook Internal Medicine Associates S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17000 W North Ave, Suite 200e, Brookfield, WI 53005 Phone: 262-782-4270 Fax: 262-784-9319 | |
Legacy Physiatry Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 S Executive Dr, Suite 101, Brookfield, WI 53005 Phone: 972-372-1663 | |
Infectious Disease Specialists Of Se Wi, Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 150 S. Sunny Slope Rd, Suite 136, Brookfield, WI 53005 Phone: 262-786-4550 Fax: 262-786-4552 |