Denise Susan Coppock, D-PT | |
820 Arbutus Ave, Oconto, WI 54153-2004 | |
(920) 835-1100 | |
(920) 835-1099 |
Full Name | Denise Susan Coppock |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 820 Arbutus Ave, Oconto, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720723646 | NPI | - | NPPES |
100200277 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 15769-24 (Wisconsin) | Primary |
Provider Name | Bellin Memorial Hospital Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1609838473 PECOS PAC ID: 8820900749 Enrollment ID: O20031121000089 |
Provider Name | Oconto Hospital & Medical Center Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1356373302 PECOS PAC ID: 2163461781 Enrollment ID: O20050713000836 |
Mailing Address | Practice Location Address |
---|---|
Denise Susan Coppock, D-PT Po Box 22487, Green Bay, WI 54305-2487 Ph: (920) 445-7222 | Denise Susan Coppock, D-PT 820 Arbutus Ave, Oconto, WI 54153-2004 Ph: (920) 835-1100 |
Kelly A Foust, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: Oconto Hospital And Medical Center Inc, 820 Arbutus Ave, Oconto, WI 54153 Phone: 920-835-1100 Fax: 920-835-1099 | |
Coral A Thomson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 820 Arbutus Ave, Oconto, WI 54153 Phone: 920-835-1100 | |
Jean Sophie Delforge, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 Michigan Ave, Oconto, WI 54153 Phone: 920-834-7808 | |
Cmh Physical Therapy - Oconto Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 1st St, Oconto, WI 54153 Phone: 920-835-1144 Fax: 920-835-1145 | |
Megan Ann Reese, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 820 Arbutus Ave, Oconto, WI 54153 Phone: 920-835-1100 Fax: 920-835-1099 |