Andrew D Kelly, PT | |
8201 Mish Ko Swen Dr, Crandon, WI 54520-8631 | |
(715) 478-4300 | |
Not Available |
Full Name | Andrew D Kelly |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 16 Years |
Location | 8201 Mish Ko Swen Dr, Crandon, 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 |
---|---|---|---|
1508025347 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 10994 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Forest County Potawatomi Community | 3375454689 | 15 |
Provider Name | Forest County Potawatomi Community |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1285741306 PECOS PAC ID: 3375454689 Enrollment ID: O20040228000204 |
Mailing Address | Practice Location Address |
---|---|
Andrew D Kelly, PT 8201 Mish Ko Swen Dr, Crandon, WI 54520-8631 Ph: (715) 478-4300 | Andrew D Kelly, PT 8201 Mish Ko Swen Dr, Crandon, WI 54520-8631 Ph: (715) 478-4300 |
Mr. Frederick A Mathwig, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5409 Everybodys Road, Forest County Potawatomi Health & Wellness Center, Crandon, WI 54520 Phone: 715-478-4300 Fax: 715-478-4490 | |
Margaret Gother, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8201 Mish Ko Swen Dr, Crandon, WI 54520 Phone: 715-478-4300 | |
Dr. Angela Kay Wales, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8201 Mish Ko Swen Dr, Crandon, WI 54520 Phone: 715-478-4344 |