Lakeshore Medical Clinic is a
Clinic/center - Physical Therapy based in Greenfield, Wisconsin. Lakeshore Medical Clinic is licensed to practice in * (Not Available) (license number ) and their current practice location is
4444 West Loomis Road, 200, Greenfield, Wisconsin. It can be reached at their office (for appointments etc.) via phone at
(414) 281-5150.
NPI number for Lakeshore Medical Clinic is 1861754244 and their current mailing address is 100 15th Ave, South Milwaukee, Wisconsin. Lakeshore Medical Clinic
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1861754244.
Healthcare Provider's Profile
| Full Name | Lakeshore Medical Clinic |
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| Type | Facility |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 4444 West Loomis Road, Greenfield, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1861754244
- Provider Enumeration Date: 06/12/2012
- Last Update Date: 06/12/2012
Medical Identifiers
Medical identifiers for Lakeshore Medical Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861754244 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
| 261QX0100X | Clinic/center - Occupational Medicine | (* (Not Available)) | Secondary |
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. Lakeshore Medical Clinic 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 |
|---|
Lakeshore Medical Clinic
100 15th Ave,
South Milwaukee, WI 53172-1160
Ph: (414) 764-3241 | Lakeshore Medical Clinic
4444 West Loomis Road, 200,
Greenfield, WI 53220
Ph: (414) 281-5150 |
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