| Dr Daniel Goeckner, PHD | |
|
11649 N Port Washington Rd Ste 206, Mequon, WI 53092 | |
| (262) 241-9990 | |
| Not Available |
| Full Name | Dr Daniel Goeckner |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 11649 N Port Washington Rd Ste 206, Mequon, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982687018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 850-057 (Wisconsin) | Primary |
| Entity Name | Daniel Goeckner Phd Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194090639 PECOS PAC ID: 4082877873 Enrollment ID: O20120514000655 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Daniel Goeckner, PHD 11649 N Port Washington Rd Ste 206, Mequon, WI 53092-3459 Ph: (262) 241-9990 | Dr Daniel Goeckner, PHD 11649 N Port Washington Rd Ste 206, Mequon, WI 53092 Ph: (262) 241-9990 |
Dr. Charles Mathew Lodl, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11501 N Port Washington Rd, Suite 210, Mequon, WI 53092 Phone: 262-241-8901 Fax: 262-241-8907 | |
Dr. Carolyn Joy Becker, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 14135 N Cedarburg Rd, Mequon, WI 53097 Phone: 262-377-2006 Fax: 262-377-5552 | |
Dr. Amardeep Khahra, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1017 W Glen Oaks Ln Ste 171, Mequon, WI 53092 Phone: 262-236-9588 | |
Dr. Cara Christina Raymond, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1035 W Glen Oaks Ln, Suite 204, Mequon, WI 53092 Phone: 847-321-5731 | |
Judy A Walz, RN Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10500 North Port Washington Road, Mequon, WI 53092 Phone: 262-240-0427 Fax: 262-240-0429 | |
Dr. Michael Mazius, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 10303 N Port Washington Rd, #203, Mequon, WI 53092 Phone: 262-241-5955 Fax: 262-241-5926 | |
Mr. Stephen Andrew Gilbertson, LIC PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11501 N Port Washington Rd, Suite 218, Mequon, WI 53092 Phone: 262-240-9620 |