Danielle Green, PT, DPT | |
201 Gateway Dr Ste 300, Beaver Dam, WI 53916-9176 | |
(800) 974-4378 | |
(630) 515-1536 |
Full Name | Danielle Green |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 201 Gateway Dr Ste 300, Beaver Dam, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962070425 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 15430-24 (Wisconsin) | Primary |
Provider Name | Multicare Health System |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
Mailing Address | Practice Location Address |
---|---|
Danielle Green, PT, DPT 24014 W Renwick Rd Ste F, Plainfield, IL 60544-8708 Ph: (800) 974-4378 | Danielle Green, PT, DPT 201 Gateway Dr Ste 300, Beaver Dam, WI 53916-9176 Ph: (800) 974-4378 |
Karren S Ko, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 201 Gateway Dr Ste 300, Beaver Dam, WI 53916 Phone: 800-974-4378 Fax: 630-515-1536 | |
Abigail L Paspalofski, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 803 S University Ave, Beaver Dam, WI 53916 Phone: 920-885-6225 | |
Tia Mathwich, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 707 S University Ave, Beaver Dam, WI 53916 Phone: 920-887-7181 | |
Mr. Dennis Lee Bostwick, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 118 Monroe St, Beaver Dam, WI 53916 Phone: 920-887-1001 Fax: 920-887-2151 | |
Jody Weber, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 705 S University Avenue, Ste 150, Beaver Dam, WI 53916 Phone: 920-885-2663 Fax: 920-885-2466 | |
Pt Solutions Physical Therapist Medicare: Medicare Enrolled Practice Location: 124 Monroe Street, Beaver Dam, WI 53916 Phone: 920-885-6801 Fax: 920-885-6810 | |
Dr. Kellie Marie Wagner, PT, DPT, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1223 Madison St, Beaver Dam, WI 53916 Phone: 920-885-4750 |