Camille Marie Koch, DPT | |
9651 Prairie Ridge Blvd, Pleasant Prairie, WI 53158-1948 | |
(262) 333-8158 | |
Not Available |
Full Name | Camille Marie Koch |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 5 Years |
Location | 9651 Prairie Ridge Blvd, Pleasant Prairie, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104485853 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251G0304X | Physical Therapist - Geriatrics | (* (Not Available)) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Paxxon Healthcare Services Llc | 8325959554 | 181 |
Provider Name | Paxxon Healthcare Services Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003174087 PECOS PAC ID: 8325959554 Enrollment ID: O20130917000750 |
Provider Name | Healthpro Heritage Rehab & Fitness Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1245755487 PECOS PAC ID: 6507832573 Enrollment ID: O20170915001646 |
Mailing Address | Practice Location Address |
---|---|
Camille Marie Koch, DPT 4885 Magnolia Ln N, Plymouth, MN 55442-2078 Ph: (612) 816-0366 | Camille Marie Koch, DPT 9651 Prairie Ridge Blvd, Pleasant Prairie, WI 53158-1948 Ph: (262) 333-8158 |
William J Lyon, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 12500 Aurora Dr, Pleasant Prairie, WI 53158 Phone: 262-857-5000 Fax: 262-857-5001 | |
Stephanie L Frederickson, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12500 Aurora Dr, Pleasant Prairie, WI 53158 Phone: 262-857-5000 | |
Dr. Felice Kawka, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 10330 Prairie Ridge Blvd, Pleasant Prairie, WI 53158 Phone: 262-612-2856 | |
Mrs. Sumithra Rajendran, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9651 Prairie Ridge Blvd, Pleasant Prairie, WI 53158 Phone: 262-333-8158 | |
Zakkary A Perez,, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12500 Aurora Dr, Pleasant Prairie, WI 53158 Phone: 262-857-5000 | |
Dr. Michael James Mulroy, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12500 Aurora Dr, Pleasant Prairie, WI 53158 Phone: 262-857-5000 |