Elizabeth A Gross, DPT | |
1948 Godfrey Dr, Waupaca, WI 54981-7908 | |
(715) 258-7778 | |
(715) 258-7773 |
Full Name | Elizabeth A Gross |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 12 Years |
Location | 1948 Godfrey Dr, Waupaca, 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 |
---|---|---|---|
1679820716 | NPI | - | NPPES |
1679820716 | Medicaid | WI | |
12023-24 | Other | WI | STATE LICENSING |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 12023-24 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Spine And Sport Physical Therapy Of Waupaca Llc | 5395821151 | 3 |
Provider Name | Spine And Sport Physical Therapy Of Waupaca Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770768046 PECOS PAC ID: 5395821151 Enrollment ID: O20080320000035 |
Mailing Address | Practice Location Address |
---|---|
Elizabeth A Gross, DPT 1439 Churchill St, Suite 102, Waupaca, WI 54981-2089 Ph: (715) 258-7778 | Elizabeth A Gross, DPT 1948 Godfrey Dr, Waupaca, WI 54981-7908 Ph: (715) 258-7778 |
Mr. Bruce Allen Pierson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1053 Fax: 715-258-1153 | |
Dean Jerome Sondrol, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 102 Grand Seasons Dr Ste 1, Waupaca, WI 54981 Phone: 715-942-2553 Fax: 715-258-1153 | |
Bonnie J Sperberg, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1226 Berlin St, Waupaca, WI 54981 Phone: 715-942-1422 | |
Mrs. Kasey Louise Tessar, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1401 Churchill St, Waupaca, WI 54981 Phone: 715-258-8131 | |
Michael R. Koch, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1948 Godfrey Dr, Waupaca, WI 54981 Phone: 715-340-5383 Fax: 715-258-7773 | |
Carissa Melk, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1053 | |
Nicole Barton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1401 Churchill St, Waupaca, WI 54981 Phone: 715-258-8131 |