Brandon John Bigelow, PT | |
2835 N Grandview Blvd Ste 100, Pewaukee, WI 53072-5546 | |
(262) 574-1100 | |
(262) 574-5193 |
Full Name | Brandon John Bigelow |
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Gender | Male |
Speciality | Physical Therapist |
Location | 2835 N Grandview Blvd Ste 100, Pewaukee, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861186967 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 16387-24 (Wisconsin) | Primary |
Provider Name | Midwest Orthopedic Specialty Hospital Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1275127375 PECOS PAC ID: 7113078833 Enrollment ID: O20210317001381 |
Mailing Address | Practice Location Address |
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Brandon John Bigelow, PT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Brandon John Bigelow, PT 2835 N Grandview Blvd Ste 100, Pewaukee, WI 53072-5546 Ph: (262) 574-1100 |
Kirkland Crossings Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 Quinlan Dr, Pewaukee, WI 53072 Phone: 651-631-6570 | |
Meredith Lynn Deback-gast, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: N15w28300 Golf Rd, Pewaukee, WI 53072 Phone: 262-303-5055 | |
Alexander Daniel Zacharias, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2835 N Grandview Blvd Ste 100, Pewaukee, WI 53072 Phone: 262-574-1100 Fax: 262-574-5193 | |
Rebecca Jean Thomas, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 203 W Wisconsin Ave, Pewaukee, WI 53072 Phone: 262-408-8923 | |
Annika Claire Haley, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: N15w28300 Golf Rd, Pewaukee, WI 53072 Phone: 262-303-5055 Fax: 262-303-5057 | |
Heidi Laurel Lasnoski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1177 Quail Ct Ste 200, Pewaukee, WI 53072 Phone: 262-695-3057 Fax: 262-695-3063 | |
Alison E Hoff, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2835 N Grandview Blvd, Suite 100, Pewaukee, WI 53072 Phone: 262-574-5185 Fax: 262-574-5193 |