Mae J Fancher (NPI# 1972592095, PAC ID# 2769490911) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1972592095 |
| PAC ID by PECOS | 2769490911 |
| Professional Enrollment ID | I20060329000437 |
| Full Name | Mae J Fancher |
| Organization Legal Name | SOUTH STREET CLINIC LLC |
| Address |
169 E Wisconsin Ave Oconomowoc WI 53066-3062 |
| Phone Number | 2625677673 |
| Gender | F |
| Credential | CSW |
| Graduation Year | 1995 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 6608898515 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 169 E Wisconsin Ave, Oconomowoc, WI 53066-3062 | 2625677673 | SOUTH STREET CLINIC LLC |
| 169 E Wisconsin Ave, Suite G, Oconomowoc, WI 53066-3062 | 2625677673 | SOUTH STREET CLINIC LLC |
| Organization Legal Name | SOUTH STREET CLINIC LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne A Weston | Clinical Psychologist | South Street Clinic LLC | 169 E Wisconsin Ave, Suite G, Oconomowoc, WI 53066-3062 |
| Street Address |
169 E WISCONSIN AVE |
| City | OCONOMOWOC |
| State | WI |
| Zip | 53066-3062 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aimee M Metzger | Clinical Social Worker | 169 E Wisconsin Ave, Suite G, Oconomowoc, WI 53066-3062 | |
| Anne A Weston | Clinical Psychologist | South Street Clinic LLC | 169 E Wisconsin Ave, Suite G, Oconomowoc, WI 53066-3062 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lara R Kalush | Nurse Practitioner | Prohealth Care Medical Associates Inc | 1185 Corporate Dr, Suite 350, Oconomowoc, WI 53066 |
| Donna M Voigt | Nurse Practitioner | Prohealth Care Medical Associates Inc | 1185 Corporate Dr, Suite 350, Oconomowoc, WI 53066 |
| Anne K Wick | Nurse Practitioner | Prohealth Care Medical Associates Inc | 1185 Corporate Dr, Suite 350, Oconomowoc, WI 53066 |
| David D Schlomer | Internal Medicine | Prohealth Care Medical Associates Inc | 1185 Corporate Dr, Suite 350, Oconomowoc, WI 53066 |
| Bobbiejo Paul | Nurse Practitioner | Prohealth Care Medical Associates Inc | 1185 Corporate Dr, Suite 350, Oconomowoc, WI 53066 |
| Bradley Steven Schuster | Optometry | Oconomowoc Vision Clinic, LLC | 1674 Old School House Rd, Suite 101, Oconomowoc, WI 53066-1399 |
| David M Bjork | Optometry | Oconomowoc Vision Clinic, LLC | 1674 Old School House Rd, Suite 101, Oconomowoc, WI 53066-1399 |
| Nathan James Omick | Chiropractic | Michael R Traub D.c. Ltd | N58 W39799 Hwy 16, Oconomowoc, WI 53066-2185 |
| Michael Ray Traub | Chiropractic | Michael R Traub D.c. Ltd | N58 W39799 Hwy 16, Oconomowoc, WI 53066-2185 |
| Karen Ihry Gould | Chiropractic | Michael R Traub D.c. Ltd | N58 W39799 Hwy 16, Oconomowoc, WI 53066-2185 |
| Find all physicians in zip 53066 | |||
| City | OCONOMOWOC |
| Zip Code | 53066 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | OCONOMOWOC + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Mae J Fancher.
| 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.