Denis I Jackson (NPI# 1013000561, PAC ID# 8527962323) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1013000561 |
| PAC ID by PECOS | 8527962323 |
| Professional Enrollment ID | I20040405000204 |
| Full Name | Denis I Jackson |
| Address |
11931 W Blue Mound Rd Wauwatosa WI 53226-3967 |
| Phone Number | 4142768669 |
| Gender | M |
| Credential | CP |
| Graduation Year | 1993 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520045 | THEDA CLARK MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 130 2nd St, Neenah, WI 54956-2883 | 9207293100 | THEDACARE INCORPORATED |
| 11931 W Blue Mound Rd, Wauwatosa, WI 53226-3967 | 4142768669 |
| Street Address |
11931 W BLUE MOUND RD |
| City | WAUWATOSA |
| State | WI |
| Zip | 53226-3967 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bernadette A Demuri | Psychiatry | Associated Mental Health Consultants Inc | 2600 N Mayfair, Suite 305, Wauwatosa, WI 53226-1303 |
| Kristi L Reynolds | Clinical Social Worker | County of Walworth | 2600 N Mayfair Rd, Suite 305, Wauwatosa, WI 53226-1303 |
| Mariellen Fischer | Psychologist, Clinical | Associated Mental Health Consultants Inc | 2600 N Mayfair, Suite 305, Wauwatosa, WI 53226-1303 |
| Sarah J Ford | Clinical Social Worker | Associated Mental Health Consultants Inc | 2600 N Mayfair, 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 |
| Jennifer K Cicero | Clinical Social Worker | Associated Mental Health Consultants Inc | 2600 N Mayfair, Suite 305, Wauwatosa, WI 53226-1303 |
| Barbara J Reinke | Psychologist, Clinical | Associated Mental Health Consultants Inc | 2600 N Mayfair, Suite 305, Wauwatosa, WI 53226-1303 |
| Mark O Pease | Nurse Practitioner | County of Walworth | 2600 N Mayfair Rd, Suite 305, Wauwatosa, WI 53226-1303 |
| Laura C Liguori | Psychologist, Clinical | Associated Mental Health Consultants Inc | 2600 N Mayfair, Suite 305, Wauwatosa, WI 53226-1303 |
| Find all physicians in zip 53226 | |||
| City | WAUWATOSA |
| Zip Code | 53226 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | WAUWATOSA + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Denis I Jackson.
| 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.