Athena D Lickel (NPI# 1740692631, PAC ID# 0143545897) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.
| Nation Provider ID (NPI) | 1740692631 |
| PAC ID by PECOS | 0143545897 |
| Professional Enrollment ID | I20150220002190 |
| Full Name | Athena D Lickel |
| Organization Legal Name | GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN |
| Address |
700 Regent St Madison WI 53715-2634 |
| Phone Number | 6084413290 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | CLINICAL PSYCHOLOGIST |
| Group Practice PAC ID | 3870489586 |
| Number of Group Practice Members | 182 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 700 Regent St, Madison, WI 53715-2634 | 6084413290 | GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN |
| 8202 Excelsior Dr, Madison, WI 53717-1906 | 6088311766 | GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN |
| Organization Legal Name | GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN |
| Physicians | 182 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marina Demenech Sanderson | Clinical Social Worker | Group Health Cooperative of South Central Wisconsin | 8202 Excelsior Dr, Madison, WI 53717-1906 |
| Marcia A Bolles | Physician Assistant | Group Health Cooperative of South Central Wisconsin | 675 W Washington Ave, Madison, WI 53703-2637 |
| Rama Ahuja | Physical Therapy | Group Health Cooperative of South Central Wisconsin | 8054 Watts Rd, Madison, WI 53719-3811 |
| Shane A Wells | Diagnostic Radiology | Group Health Cooperative of South Central Wisconsin | 3051 Cahill Main, Fitchburg, WI 53711-7109 |
| Sarah E Strong | Clinical Social Worker | Group Health Cooperative of South Central Wisconsin | 700 Regent St, Madison, WI 53715-2634 |
| Michael G Wirth | Chiropractic | Group Health Cooperative of South Central Wisconsin | 5301 Tokay Blvd, Madison, WI 53711-1027 |
| Rebecca Bull | Family Medicine | Group Health Cooperative of South Central Wisconsin | 815 S Main St, De Forest, WI 53532-1480 |
| William F Chubb | Podiatry | Group Health Cooperative of South Central Wisconsin | 1705 Hoffman St, Madison, WI 53704-2510 |
| Tyler J Allee | Physical Therapy | Group Health Cooperative of South Central Wisconsin | 675 W Washington Ave, Madison, WI 53703-2637 |
| George F Leydon Iii | Family Medicine | Group Health Cooperative of South Central Wisconsin | 675 W Washington Ave, Madison, WI 53703-2637 |
| Street Address |
700 REGENT ST |
| City | MADISON |
| State | WI |
| Zip | 53715-2634 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah E Strong | Clinical Social Worker | Group Health Cooperative of South Central Wisconsin | 700 Regent St, Madison, WI 53715-2634 |
| Jennifer L Brandt | Nurse Practitioner | Group Health Cooperative of South Central Wisconsin | 700 Regent St, Madison, WI 53715-2634 |
| Graham A Cody | Psychiatry | Group Health Cooperative of South Central Wisconsin | 700 Regent St, Madison, WI 53715-2634 |
| Luanne C Rosa | Clinical Nurse Specialist | Group Health Cooperative of South Central Wisconsin | 700 Regent St, Madison, WI 53715-2634 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amol D Kulkarni | Ophthalmology | Dean Health Systems Inc | 1025 Regent St, Madison, WI 53715-1248 |
| John Vukich | Ophthalmology | Dean Health Systems Inc | 1025 Regent St, Madison, WI 53715-1248 |
| Mitchell D. Wolf | Ophthalmology | Dean Health Systems Inc | 1025 Regent St, Madison, WI 53715-1248 |
| Joan M Mcgrath | Anesthesiology | Dean Health Systems Inc | 1025 Regent St, Madison, WI 53715-1248 |
| Christopher M Pruet | Ophthalmology | Dean Health Systems Inc | 1025 Regent St, Madison, WI 53715-1248 |
| Richard J Grundman | Certified Registered Nurse Anesthetist (crna) | Dean Health Systems Inc | 1025 Regent St, Madison, WI 53715-1248 |
| James Bell | Ophthalmology | Dean Health Systems Inc | 1025 Regent St, Madison, WI 53715-1248 |
| Nathaniel C Harkins | Optometry | Dean Health Systems Inc | 1025 Regent St, Madison, WI 53715-1248 |
| Joseph Isik | Optometry | Dean Health Systems Inc | 1025 Regent St, Madison, WI 53715-1248 |
| Rachel K Glanville | Optometry | Dean Health Systems Inc | 1025 Regent St, Madison, WI 53715-1248 |
| Find all physicians in zip 53715 | |||
| City | MADISON |
| Zip Code | 53715 |
| Specialty | CLINICAL PSYCHOLOGIST |
| City + Specialty | MADISON + CLINICAL PSYCHOLOGIST |
Please comment or provide details below to improve the information on Athena D Lickel.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.