| Dr James Kevin Giese, PHD | |
|
400 W River Drive, West Bend, WI 53090 | |
| (262) 338-2717 | |
| (262) 338-9767 |
| Full Name | Dr James Kevin Giese |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 28 Years |
| Location | 400 W River Drive, West Bend, 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 |
|---|---|---|---|
| 1417057555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 2383057 (Wisconsin) | Secondary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | 2383057 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Affiliated Clinical Services Inc | 0244124899 | 20 |
| Entity Name | Affiliated Clinical Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851473698 PECOS PAC ID: 0244124899 Enrollment ID: O20040212000835 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James Kevin Giese, PHD 400 W River Drive, West Bend, WI 53090 Ph: (262) 338-2717 | Dr James Kevin Giese, PHD 400 W River Drive, West Bend, WI 53090 Ph: (262) 338-2717 |
William Drankiewicz, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 333 E Washington St, Suite 2000, West Bend, WI 53095 Phone: 262-335-4545 Fax: 262-335-6827 | |
Karen Tucker, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 333 E Washington St, Suite 2000, West Bend, WI 53095 Phone: 262-335-4545 Fax: 262-335-6827 | |
Keyonta Latrise Johnson- Sims, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1871 Wallace Lake Rd, West Bend, WI 53090 Phone: 414-915-1531 | |
Dr. Gerald Matthew Roherty, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1784 Barton Ave, Suite Number 16, West Bend, WI 53090 Phone: 262-334-1322 Fax: 262-334-1325 |