Camille Dimonte Peterson, PT, DPT is a
Physical Therapist based in Phelps, Wisconsin. Camille Dimonte Peterson is licensed to practice in Michigan (license number 5501004807) and her current practice location is
2383 State Highway 17, Phelps, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(715) 545-3886.
NPI number for Camille Dimonte Peterson is 1407950546 and her current mailing address is 1476 Us Highway 2, Crystal Falls, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407950546.
Healthcare Provider's Profile
| Full Name | Camille Dimonte Peterson |
|---|
| Gender | Female |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 2383 State Highway 17, Phelps, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1407950546
- Provider Enumeration Date: 09/11/2006
- Last Update Date: 04/28/2009
Medical Identifiers
Medical identifiers for Camille Dimonte Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407950546 | NPI | - | NPPES |
| 40203800 | Other | WI | MEDICAID |
| 4673910 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 5501004807 (Michigan) | Primary |
| 225100000X | Physical Therapist | 4377-024 (Wisconsin) | 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. Camille Dimonte Peterson 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 |
|---|
Camille Dimonte Peterson, PT, DPT
1476 Us Highway 2,
Crystal Falls, MI 49920-9628
Ph: (906) 875-3083 | Camille Dimonte Peterson, PT, DPT
2383 State Highway 17,
Phelps, WI 54554-9472
Ph: (715) 545-3886 |
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