Charles Edward Habermann, DPT | |
4791 County Road 10 Ste 102, Moose Lake, MN 55767-9221 | |
(218) 485-2020 | |
(218) 485-2044 |
Full Name | Charles Edward Habermann |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 8 Years |
Location | 4791 County Road 10 Ste 102, Moose Lake, Minnesota |
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 |
---|---|---|---|
1992251839 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT36727 (Florida) | Secondary |
225100000X | Physical Therapist | 10540 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Elite Physical Therapy Of Southwest Florida Inc | 7810054269 | 4 |
Therapy Partners Inc | 4486552593 | 113 |
Provider Name | Elite Physical Therapy Of Southwest Florida Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1063687416 PECOS PAC ID: 7810054269 Enrollment ID: O20090330000374 |
Mailing Address | Practice Location Address |
---|---|
Charles Edward Habermann, DPT 1939 Minnehaha Ave W Ste 300, Saint Paul, MN 55104-1033 Ph: (651) 748-4338 | Charles Edward Habermann, DPT 4791 County Road 10 Ste 102, Moose Lake, MN 55767-9221 Ph: (218) 485-2020 |
Samantha Marie Johnson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4572 County Road 61, Moose Lake, MN 55767 Phone: 218-485-5823 Fax: 218-485-5865 | |
Ronald William Neva, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 710 S Kenwood Ave, Moose Lake, MN 55767 Phone: 218-485-5516 Fax: 218-485-5865 | |
Allie Marie Hakamaki, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4791 County Road 10 Ste 102, Moose Lake, MN 55767 Phone: 218-485-2020 Fax: 218-485-2044 | |
Allyson Loupe, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4570 County Road 61, Moose Lake, MN 55767 Phone: 218-485-2020 | |
Mrs. Lynn Marie Folsted, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4791 County Road 10 Ste 102, Moose Lake, MN 55767 Phone: 218-485-2020 Fax: 218-485-2044 | |
Mrs. Luann Joyce Charboneau, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 710 S Kenwood Ave, Moose Lake, MN 55767 Phone: 218-485-5627 | |
Ms. Debra Kay Schuerman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 710 S Kenwood Ave, Moose Lake, MN 55767 Phone: 218-485-5598 Fax: 218-485-5865 |