| Thomas J Hayes, PHD | |
|
1002 Lincoln Ave, Baraboo, WI 53913-1808 | |
| (608) 356-9055 | |
| (608) 356-5447 |
| Full Name | Thomas J Hayes |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 1002 Lincoln Ave, Baraboo, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528001450 | NPI | - | NPPES |
| 39287100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1707-057 (Wisconsin) | Primary |
| Entity Name | Community Service Associates, Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780610923 PECOS PAC ID: 8426948746 Enrollment ID: O20040318001251 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas J Hayes, PHD 1002 Lincoln Ave, Baraboo, WI 53913-1808 Ph: (608) 356-9055 | Thomas J Hayes, PHD 1002 Lincoln Ave, Baraboo, WI 53913-1808 Ph: (608) 356-9055 |
Dr. Katherine Ann Halley, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 227 5th Ave, Baraboo, WI 53913 Phone: 608-356-9066 | |
Suzanne M Hockley Murry, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 505 Broadway St, Baraboo, WI 53913 Phone: 608-355-4200 | |
Donna T. Rose, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1002 Lincoln Ave, Baraboo, WI 53913 Phone: 608-356-9055 Fax: 608-356-5447 | |
Jessica Mijal, PSY.D, L.P. Psychologist Medicare: Medicare Enrolled Practice Location: 505 Broadway St, Baraboo, WI 53913 Phone: 608-355-4211 |