Molly Jean Fermanich, PTA is a
Physical Medicine & Rehabilitation physician based in Weston, Wisconsin. Molly Jean Fermanich is licensed to practice in Wisconsin (license number 4098-19) and her current practice location is 4810 Barbican Ave, Weston, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(715) 393-0400.
NPI number for Molly Jean Fermanich is 1306611140 and her current mailing address is W9209 County Road F, Antigo, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306611140.
Physician's Profile
Full Name | Molly Jean Fermanich |
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Gender | Female |
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Speciality | Physical Medicine & Rehabilitation |
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Location | 4810 Barbican Ave, Weston, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1306611140
- Provider Enumeration Date: 11/21/2023
- Last Update Date: 11/21/2023
Medical Identifiers
Medical identifiers for Molly Jean Fermanich such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306611140 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | 4098-19 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Molly Jean Fermanich is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Molly Jean Fermanich, PTA W9209 County Road F, Antigo, WI 54409-9116 Ph: (715) 219-3837 | Molly Jean Fermanich, PTA 4810 Barbican Ave, Weston, WI 54476-4186 Ph: (715) 393-0400 |
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