| Dr Jonathan Caleb Easton, PSYD | |
|
N2846 State Road 67, Williams Bay, WI 53191-3771 | |
| (262) 245-5608 | |
| (262) 245-5648 |
| Full Name | Dr Jonathan Caleb Easton |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 19 Years |
| Location | N2846 State Road 67, Williams Bay, 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 |
|---|---|---|---|
| 1841435039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071.007571 (Illinois) | Secondary |
| 103TC0700X | Psychologist - Clinical | 3233-57 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health System Corporation | 7416860440 | 564 |
| Entity Name | Mercy Health System Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan Caleb Easton, PSYD N2846 State Road 67, Williams Bay, WI 53191-3771 Ph: (262) 245-5608 | Dr Jonathan Caleb Easton, PSYD N2846 State Road 67, Williams Bay, WI 53191-3771 Ph: (262) 245-5608 |
Julie A Beyers, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: N2846 State Road 67, Williams Bay, WI 53191 Phone: 262-245-5608 Fax: 262-245-5648 | |
Dr. John Larry Jansky, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: N2846 State Road 67, Williams Bay, WI 53191 Phone: 262-245-5608 Fax: 262-245-5648 | |
Katherine L Catuara, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: N2846 State Road 67, Williams Bay, WI 53191 Phone: 262-245-5608 Fax: 262-245-5648 |