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LUKE DEBAUCHE
NPI 1619133352
Social Worker - Clinical in Milwaukee, WI

Active since August 01, 2008PECOS EnrolledAccepts Medicare Assignment
820 N PLANKINTON AVE, MILWAUKEE, WI 53203(414) 223-6800(414) 273-2357 Get Directions Write a Review

NPPES record last updated: January 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Luke Debauche NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUKE DEBAUCHE (NPI 1619133352) is an individual clinical provider in Milwaukee, Wisconsin and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1619133352
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameLUKE DEBAUCHE
Location Address820 N PLANKINTON AVEMilwaukee, WI 53203-1802
Mailing AddressPo Box 510498Milwaukee, WI 53203-0092 · (866) 525-5484 · Fax (414) 225-1575
Phone(414) 223-6800
Fax(414) 273-2357
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 1, 2008
Last NPPES UpdateJanuary 5, 2022
NPPES CertifiedJanuary 5, 2022
✔ NPI 1619133352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
820 N PLANKINTON AVE, Milwaukee, WI 53203
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Luke Debauche is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012327661
PECOS Enrollment IDI20201110001379
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CRYSTAL Z MCLEAN
Counselor (Mental Health)
820 N PLANKINTON AVE
MILWAUKEE, WI 53203
Milwaukee County (414) 225-1606
JONATHAN WEIMER APNP
Nurse Practitioner
820 N PLANKINTON AVE
MILWAUKEE, WI 53203
Milwaukee County (414) 223-6800
GINA G NEGRETTE MD
Psychiatry & Neurology (Psychiatry)
820 N PLANKINTON AVE
MILWAUKEE, WI 53203
Milwaukee County (414) 273-1991
KARENA CRETEN
Pharmacist
820 N PLANKINTON AVE
MILWAUKEE, WI 53203
Milwaukee County (414) 223-6820
DR. CHRISTINE MARIE HOGAN M.D.
Internal Medicine (Infectious Disease)
820 N PLANKINTON AVE
MILWAUKEE, WI 53203
Milwaukee County (414) 223-6800
MR. RICHARD FONS RPH.
Pharmacist
820 N PLANKINTON AVE
MILWAUKEE, WI 53203
Milwaukee County (414) 223-6820
VIVENT HEALTH INC
Case Management
820 N PLANKINTON AVE
MILWAUKEE, WI 53203
Milwaukee County (414) 225-1542
EMMA JOUBERT
Case Manager/Care Coordinator
820 N PLANKINTON AVE
MILWAUKEE, WI 53203
Milwaukee County (414) 225-1568

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 Luke Debauche's NPI number?

The NPI number for Luke Debauche is 1619133352. It was assigned to this individual provider in the NPPES registry on August 1, 2008.

Where is Luke Debauche located?

Luke Debauche practices at 820 N Plankinton Ave, Milwaukee, WI 53203. The listed phone number is (414) 223-6800.

What is Luke Debauche's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Luke Debauche enrolled in Medicare?

Yes. Luke Debauche is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Luke Debauche accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners, Medica and Network Health and 2 other insurers list Luke Debauche as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Luke Debauche was last updated on January 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.