Elizabeth M Lucht (NPI# 1295837789, PAC ID# 2264439009) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1295837789 |
| PAC ID by PECOS | 2264439009 |
| Professional Enrollment ID | I20141017000699 |
| Full Name | Elizabeth M Lucht |
| Organization Legal Name | PSYCHOLOGY CLINIC INC. |
| Address |
1190 Prairie St Prairie Du Sac WI 53578-2044 |
| Phone Number | 6083706551 |
| Gender | F |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0143216747 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520098 | UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY |
| Address | Phone | Organization |
|---|---|---|
| 3051 Cahill Main, Fitchburg, WI 53711-7109 | 6086617200 | GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN |
| 1705 Hoffman St, Madison, WI 53704-2510 | 6084413501 | GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN |
| 310 N Midvale Blvd, Madison, WI 53705-3265 | 6082389991 | PSYCHOLOGY CLINIC INC. |
| 5249 E Terrace Dr, Madison, WI 53718-8339 | 6082229777 | GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN |
| 675 W Washington Ave, Madison, WI 53703-2637 | 6082579700 | GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN |
| 8202 Excelsior Dr, Madison, WI 53717-1906 | 6088311766 | GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN |
| 1190 Prairie St, Prairie Du Sac, WI 53578-2044 | 6083706551 | PSYCHOLOGY CLINIC INC. |
| Organization Legal Name | PSYCHOLOGY CLINIC INC. |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea Nelson | Psychologist, Clinical | Psychology Clinic Inc. | 310 N Midvale Blvd, Madison, WI 53705-3265 |
| Kerri M Lehman | Psychologist, Clinical | Psychology Clinic Inc. | 1190 Prairie St, Prairie Du Sac, WI 53578-2044 |
| Jordyn S Czerwinski | Clinical Social Worker | Psychology Clinic Inc. | 1190 Prairie St, Prairie Du Sac, WI 53578-2044 |
| David J Roethe | Psychologist, Clinical | Psychology Clinic Inc. | 310 N Midvale Blvd, Madison, WI 53705-3265 |
| Michael T Witkovsky | Psychiatry | Psychology Clinic Inc. | 310 N Midvale Blvd, Madison, WI 53705-3265 |
| Erin C Wilson | Clinical Social Worker | Psychology Clinic Inc. | 310 N Midvale Blvd, Madison, WI 53705-3265 |
| Brett V Brasher | Clinical Social Worker | Psychology Clinic Inc. | 310 N Midvale Blvd, Madison, WI 53705-3265 |
| Jeanine S Fair | Clinical Social Worker | Psychology Clinic Inc. | 1190 Prairie St, Prairie Du Sac, WI 53578-2044 |
| Street Address |
1190 PRAIRIE ST |
| City | PRAIRIE DU SAC |
| State | WI |
| Zip | 53578-2044 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kerri M Lehman | Psychologist, Clinical | Psychology Clinic Inc. | 1190 Prairie St, Prairie Du Sac, WI 53578-2044 |
| Jordyn S Czerwinski | Clinical Social Worker | Psychology Clinic Inc. | 1190 Prairie St, Prairie Du Sac, WI 53578-2044 |
| Jeanine S Fair | Clinical Social Worker | Psychology Clinic Inc. | 1190 Prairie St, Prairie Du Sac, WI 53578-2044 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan P Cody | Chiropractic | 462 Water St, Prairie Du Sac, WI 53578-1127 | |
| James F Williams | Clinical Social Worker | Pathway To Wellness Community Clinic LLC | 560 4th St, Prairie Du Sac, WI 53578-1136 |
| Thomas F Terbilcox | Chiropractic | 590 4th St, Prairie Du Sac, WI 53578-1136 | |
| Michael J Orrico | Psychologist, Clinical | Pathway To Wellness Community Clinic LLC | 560 4th St, Prairie Du Sac, WI 53578-1136 |
| Michael L Hammer | Psychologist, Clinical | Pathway To Wellness Community Clinic LLC | 560 4th St, Prairie Du Sac, WI 53578-1136 |
| Kelsey M Greenwood | Clinical Social Worker | Pathway To Wellness Community Clinic LLC | 560 4th St, Prairie Du Sac, WI 53578-1136 |
| Jodi Webb | Clinical Social Worker | Community Service Associates | 50 Prairie Ave, Prairie Du Sac, WI 53578-1541 |
| Melissa L Chesmore | Nurse Practitioner | Community Service Associates | 50 Prairie Ave, Prairie Du Sac, WI 53578-1541 |
| Elizabeth C Fettig | Clinical Social Worker | Community Service Associates | 50 Prairie Ave, Prairie Du Sac, WI 53578-1541 |
| Julia M Dellaria | Optometry | Dean Health Systems Inc | 1110 Prairie St, Prairie Du Sac, WI 53578-2044 |
| Find all physicians in zip 53578 | |||
| City | PRAIRIE DU SAC |
| Zip Code | 53578 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | PRAIRIE DU SAC + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Elizabeth M Lucht.
| 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.