Jacob Steven Clearfield, | |
3811 Spring St, Mount Pleasant, WI 53405-1667 | |
(262) 687-6262 | |
(262) 687-6261 |
Full Name | Jacob Steven Clearfield |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 14 Years |
Location | 3811 Spring St, Mount Pleasant, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629367776 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 60013 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension At Home | Milwaukee, WI | Home health agency |
Ascension All Saints Hospital | Racine, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wheaton Franciscan Medical Group Inc | 8628980943 | 565 |
Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
Mailing Address | Practice Location Address |
---|---|
Jacob Steven Clearfield, 3811 Spring St, Mount Pleasant, WI 53405-1667 Ph: (262) 687-6262 | Jacob Steven Clearfield, 3811 Spring St, Mount Pleasant, WI 53405-1667 Ph: (262) 687-6262 |
Elizabeth Trudy Camenga, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 3811 Spring St Ste 102, Mount Pleasant, WI 53405 Phone: 262-687-5800 Fax: 262-687-6261 | |
Alison Scott, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 7300 Washington Ave Ste B, Mount Pleasant, WI 53406 Phone: 262-321-6000 |