Kelly M Gustavson Mattek (NPI# 1750471314, PAC ID# 6901806769) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1750471314 |
| PAC ID by PECOS | 6901806769 |
| Professional Enrollment ID | I20070102000256 |
| Full Name | Kelly M Gustavson Mattek |
| Organization Legal Name | COUNTY OF WALWORTH |
| Address |
1910 County Rd Nn Elkhorn WI 53121-4454 |
| Phone Number | 2627413200 |
| Gender | F |
| Graduation Year | 2003 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 6002872835 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1910 County Rd Nn, Elkhorn, WI 53121-4454 | 2627413200 | COUNTY OF WALWORTH |
| Organization Legal Name | COUNTY OF WALWORTH |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katelyn J Blatter | Clinical Social Worker | County of Walworth | W4051 County Rd Nn, Elkhorn, WI 53121-4338 |
| Kristi L Reynolds | Clinical Social Worker | County of Walworth | 2600 N Mayfair Rd, Suite 305, Wauwatosa, WI 53226-1303 |
| Nicole E Heinrich | Clinical Social Worker | County of Walworth | 2600 N Mayfair Rd, Suite 305, Wauwatosa, WI 53226-1303 |
| Ilya Melina Ray | Nurse Practitioner | County of Walworth | 2600 N Mayfair Rd, Suite 305, Wauwatosa, WI 53226-1303 |
| Mark O Pease | Nurse Practitioner | County of Walworth | 2600 N Mayfair Rd, Suite 305, Wauwatosa, WI 53226-1303 |
| Steven W Ortell | Psychiatry | County of Walworth | 2600 N Mayfair Rd, Suite 305, Wauwatosa, WI 53226-1303 |
| Carlo J Nevicosi | Clinical Social Worker | County of Walworth | W4051 County Rd Nn, Elkhorn, WI 53121-4338 |
| Judy A Tippel | Clinical Social Worker | County of Walworth | W4051 County Rd Nn, Elkhorn, WI 53121-4338 |
| Street Address |
1910 COUNTY RD NN |
| City | ELKHORN |
| State | WI |
| Zip | 53121-4454 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donn F Karlik | Chiropractic | 850 N Wisconsin St, Elkhorn, WI 53121-1137 | |
| James L Knavel | Orthopedic Surgery | Mercy Health System Corporation | 839 N Wisconsin St Dba, Elkhorn, WI 53121-1138 |
| Fares W Sweis | Family Medicine | Mercy Health System Corporation | 839 N Wisconsin St Dba, Elkhorn, WI 53121-1138 |
| Jeffrey A Kowalski | Family Medicine | Mercy Health System Corporation | 839 N Wisconsin St Dba, Elkhorn, WI 53121-1138 |
| Samuel J Arnold | Physical Therapy | Athletico Ltd | 1020 N Wisconsin St, Spc 1, Elkhorn, WI 53121-1165 |
| Jordan Z Olp | Physical Therapy | Athletico Ltd | 1020 N Wisconsin St, Spc 1, Elkhorn, WI 53121-1165 |
| John Hall | Optometry | 419 N Wisconsin St, Elkhorn, WI 53121-1317 | |
| Todd P Mortensen | Chiropractic | 422 N Wisconsin St A, Elkhorn, WI 53121-1318 | |
| Kyle S Berlin | Chiropractic | Kettle Moraine Health and Wellness LLC | 422 N Wisconsin St A, Elkhorn, WI 53121-1318 |
| Timothy Michael Bartz | Chiropractic | 203 W Walworth St, Elkhorn, WI 53121-1636 | |
| Find all physicians in zip 53121 | |||
| City | ELKHORN |
| Zip Code | 53121 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | ELKHORN + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Kelly M Gustavson Mattek.
| 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.