DR. JEANNE MARIE HERZOG PHD
NPI 1124173133
Psychologist in Elm Grove, WI
About Dr. Jeanne Marie Herzog Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JEANNE MARIE HERZOG PHD (NPI 1124173133) is an individual psychologist in Elm Grove, Wisconsin, licensed in Wisconsin (2176057) and active in the NPI registry since January 2007. She has opted out of Medicare through May 1, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Jeanne Marie Herzog Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 1, 2013 through May 1, 2027.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jeanne Herzog's NPI number?
The NPI number for Jeanne Herzog is 1124173133. It was assigned to this individual provider in the NPPES registry on January 23, 2007.
Where is Jeanne Herzog located?
Jeanne Herzog practices at 890 Elm Grove Rd Ste 214, Elm Grove, WI 53122. The listed phone number is (414) 258-8488.
What is Jeanne Herzog's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Jeanne Herzog enrolled in Medicare?
No. Jeanne Herzog has opted out of Medicare through May 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Jeanne Herzog was last updated on March 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.