Russell Wieston Brethauer, PSYD in Elm Grove, WI - Medicare Psychologist Provider

Russell Wieston Brethauer, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Elm Grove, Wisconsin. His current practice location is 700 Pilgrim Pkwy, Suite 201, Elm Grove, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 785-5557.

Russell Wieston Brethauer is licensed to practice in Wisconsin (license number 983) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1023062528.

Contact Information

	Russell Wieston Brethauer, PSYD
	700 Pilgrim Pkwy, Suite 201, Elm Grove, WI 53122-2063
	(262) 785-5557
	(262) 785-5586

Map and Direction

Healthcare Provider's Profile

Full Name	Russell Wieston Brethauer
Gender	Male
Speciality	Psychologist - Clinical
Location	700 Pilgrim Pkwy, Elm Grove, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023062528
Provider Enumeration Date: 05/19/2006
Last Update Date: 10/18/2007

Medicare PECOS Information:

PECOS PAC ID: 8426159435
Enrollment ID: I20070720000459

Medical Identifiers

Medical identifiers for Russell Wieston Brethauer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023062528	NPI	-	NPPES
39027200	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	983 (Wisconsin)	Primary
106H00000X	Marriage & Family Therapist	185 (Wisconsin)	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Russell Wieston Brethauer is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Russell Wieston Brethauer, PSYD 700 Pilgrim Pkwy, Suite 201, Elm Grove, WI 53122-2063 Ph: (262) 785-5557	Russell Wieston Brethauer, PSYD 700 Pilgrim Pkwy, Suite 201, Elm Grove, WI 53122-2063 Ph: (262) 785-5557

Reviews and Comments

Psychologist in Elm Grove, WI

Dr. Jeanne Marie Herzog, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 890 Elm Grove Rd Ste 214, Elm Grove, WI 53122 Phone: 414-258-8488 Fax: 262-547-1978
Dr. Sonya S Trueblood, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 700 Pilgrim Pkwy Ste 203, Elm Grove, WI 53122 Phone: 262-222-2882 Fax: 920-365-4279
Dr. Lauri Christine Gebhard, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 15300 Watertown Plank Rd Ste 106, Elm Grove, WI 53122 Phone: 414-807-8934 Fax: 414-302-1330
Dr. Ann Connor Lawrence, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12900 Lee Ct, Elm Grove, WI 53122 Phone: 414-431-3344 Fax: 414-434-1950
Dr. Natasha Basu, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 850 Elm Grove Rd Ste 17, Elm Grove, WI 53122 Phone: 414-909-0110
Anna Sylvia Weber, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 890 Elm Grove Rd Ste 100, Elm Grove, WI 53122 Phone: 414-207-9438

Russell Wieston Brethauer, PSYD - Medicare Psychologist in Elm Grove, WI