| Dr Erik Dmitri Beaver, PHD | |
|
129 Hospital Dr, Watertown, WI 53098-3334 | |
| (920) 262-4800 | |
| (920) 262-4813 |
| Full Name | Dr Erik Dmitri Beaver |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 32 Years |
| Location | 129 Hospital Dr, Watertown, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881679975 | NPI | - | NPPES |
| 39649500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1882 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Watertown Physician Practices Llc | 8022329408 | 45 |
| Entity Name | Watertown Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770964363 PECOS PAC ID: 8022329408 Enrollment ID: O20150626000114 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Erik Dmitri Beaver, PHD 129 Hospital Dr, Watertown, WI 53098-3334 Ph: () - | Dr Erik Dmitri Beaver, PHD 129 Hospital Dr, Watertown, WI 53098-3334 Ph: (920) 262-4800 |
Dr. Julianna Alitto Kwapil, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 225 N Concord Ave, Watertown, WI 53094 Phone: 920-245-1804 | |
Dr. David A Byrne, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1315 W Main Street, Watertown, WI 53094 Phone: 920-261-4100 Fax: 920-261-8801 | |
Donald John Meyer, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1315 W Main St, Watertown, WI 53094 Phone: 920-261-4100 Fax: 920-261-8801 | |
Dr. Roger J Klein, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 1315 W Main St, Watertown, WI 53094 Phone: 920-261-4100 Fax: 920-261-8801 | |
Dr. John T Duffin, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 129 Hospital Dr, Watertown, WI 53098 Phone: 920-262-4800 Fax: 920-262-4813 |