| Charlene A Carter, PHD | |
|
250 N Sunny Slope Rd, Suite 290, Brookfield, WI 53005-4809 | |
| (262) 754-9460 | |
| (262) 754-9468 |
| Full Name | Charlene A Carter |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 250 N Sunny Slope Rd, Brookfield, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750301727 | NPI | - | NPPES |
| 39074100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 575-057 (Wisconsin) | Primary |
| Entity Name | Wellness West Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306569629 PECOS PAC ID: 4789052820 Enrollment ID: O20221122001246 |
| Mailing Address | Practice Location Address |
|---|---|
| Charlene A Carter, PHD 250 N Sunny Slope Rd, Suite 290, Brookfield, WI 53005-4809 Ph: (262) 754-9460 | Charlene A Carter, PHD 250 N Sunny Slope Rd, Suite 290, Brookfield, WI 53005-4809 Ph: (262) 754-9460 |
Dr. Stephen Gary Levine, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 17100 W Bluemound Rd, Suite 204, Brookfield, WI 53005 Phone: 262-391-5780 Fax: 262-754-3712 | |
Kirsten Thiemke, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005 Phone: 262-542-3255 | |
Dr. Rachel A. Roeglin, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005 Phone: 262-789-1191 | |
Kathleen Gehl, PSYD, NP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 13965 W Burleigh Rd, Brookfield, WI 53005 Phone: 262-785-6002 Fax: 262-785-2773 | |
Dr. Stephen Martin Saunders, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16535 W Bluemound Rd, Suite Number 200, Brookfield, WI 53005 Phone: 262-542-3255 | |
Susan Eileen Donahoo, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 660 Woelfel Rd, Brookfield, WI 53045 Phone: 262-789-8089 | |
Madeline Bliske, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005 Phone: 262-789-1191 |