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Maejeanne Fancher (LCSW)

Ms. Maejeanne Fancher (LCSW) is a health care provider specializes in Social Worker. She is associated with medical group practice SOUTH STREET CLINIC LLC.

profile-icon Basic Information

Practice Location 416 W South St, Oconomowoc, WI 53066-2755, US
Practice Location Phone262-567-7673
Practice Location Fax
GenderFemale
Specialty InSocial Worker
Medical SchoolOther
Graduation Year1995
NPI ?1972592095
PECOS ID2769490911
Enrollment IDI20060329000437
Entity TypeIndividual
Enumeration Date ? Oct 20, 2005
Last Update Date ? Jul 8, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
PECOS: Provider Enrollment, Chain, and Ownership System.

specialty-icon Specialties & Licenses of Maejeanne Fancher

SpecialtySpecializationLicenseLicense State
Social Worker

Medicare-icon Medicare Participation of Maejeanne Fancher

Accepts Medicare AssignmentYes
Report Quality Measures
Use Electronic Health Records
Committed to Teart Health Through the Million HeartsĀ® initiative

affiliation-icon Hospital & Group Practice Affiliations of Maejeanne Fancher

Medical Group PracticeSouth Street Clinic Llc

legacy-id-icon Legacy Provider IDs of Maejeanne Fancher

Provider IdIssuer StateIssuer TypeIssuer
40938800WisconsinMedicaid