| Dr Bethany Jean Lo Presti, PHD | |
|
1155 N Mayfair Rd, Milwaukee, WI 53226-3462 | |
| (414) 955-5990 | |
| (414) 955-6282 |
| Full Name | Dr Bethany Jean Lo Presti |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 1155 N Mayfair Rd, Milwaukee, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952618217 | NPI | - | NPPES |
| 1952618217 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071007968 (Illinois) | Secondary |
| 103TC0700X | Psychologist - Clinical | 3207 (Wisconsin) | Primary |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bethany Jean Lo Presti, PHD 1155 N Mayfair Rd, Milwaukee, WI 53226-3462 Ph: (414) 955-5990 | Dr Bethany Jean Lo Presti, PHD 1155 N Mayfair Rd, Milwaukee, WI 53226-3462 Ph: (414) 955-5990 |
Dr. Donald Raymond Hands, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6500 N Elm Tree Rd, Milwaukee, WI 53217 Phone: 262-617-8574 | |
Dr. Melissa Lancaster, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-955-0660 Fax: 414-955-0076 | |
Jeralee Briggs, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5000 W National Ave, Milwaukee, WI 53295 Phone: 414-384-2000 | |
Dr. Steven Byers, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7306 N 43rd St, Milwaukee, WI 53209 Phone: 262-957-6204 | |
Dr. Michael Dimarco Jr., PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1155 N Mayfair Rd, Third Floor, Milwaukee, WI 53226 Phone: 414-955-8900 Fax: 414-955-6285 | |
Alissa M Butts, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-5660 | |
Afnan Musaitif, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5000 W National Ave, Milwaukee, WI 53295 Phone: 414-384-2000 |