DR. BRIAN M LUKACH (PHD) – Clinical Psychologist, NPI 1962506154
Preparing for Medicare enrollment?
Use our CMS-855 prep checklist: which form applies (855I, 855O, or 855A), readiness score, NPPES field map, and Section 12 documents. Reassignment uses CMS-855I Section 4F—not the discontinued CMS-855R form.
Open Medicare 855 Prep tool →Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for DR. BRIAN M LUKACH (PHD)
PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States
GREEN BAY, WI 543079070
Phone: (920) 496-4700
Type: Mailing
3425, Superior Avenue, Sheboygan, Sheboygan County, Wisconsin, 53081, United States
SHEBOYGAN, WI 53082
Phone: (920) 458-5557
Fax: (920) 458-2692
Type: Location
5385 CAMINO SANTANDER APT 69
SAN DIEGO, CA 921306549
Phone: (920) 698-6438
Type: Mailing
17140 BERNARDO CENTER DR STE 300
SAN DIEGO, CA 921282000
Phone: (858) 716-8100
Fax: (858) 716-8085
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 54307)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | WI | |
| Nurse Practitioner | WI | |
| Interventional Radiology, Diagnostic Radiology | WI | |
| - | WI | |
| Internal Medicine | WI | |
| Family Practice | WI | |
| Diagnostic Radiology, Interventional Radiology | WI | |
| - | WI | |
| - | WI | |
| - | WI |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.