Elizabeth J Basak, PT | |
1630 Commanche Ave, Green Bay, WI 54313-5753 | |
(920) 430-4750 | |
Not Available |
Full Name | Elizabeth J Basak |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 21 Years |
Location | 1630 Commanche Ave, Green Bay, 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 |
---|---|---|---|
1679777650 | NPI | - | NPPES |
40450700 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 10319-024 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baycare Aurora Llc | 0244130557 | 175 |
Provider Name | Baycare Aurora Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1255387726 PECOS PAC ID: 0244130557 Enrollment ID: O20051012000579 |
Mailing Address | Practice Location Address |
---|---|
Elizabeth J Basak, PT Po Box 22487, Green Bay, WI 54305-2487 Ph: (920) 445-7226 | Elizabeth J Basak, PT 1630 Commanche Ave, Green Bay, WI 54313-5753 Ph: (920) 430-4750 |
Anne Marie Hein, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3101 S Packerland Dr, Green Bay, WI 54313 Phone: 920-592-3845 | |
Breanna Marie Peters, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1660 Hoffman Rd, Green Bay, WI 54311 Phone: 920-351-8725 | |
Ellen Linskens, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8000 | |
Alexander Lee Peterson, D-PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3263 Eaton Rd, Green Bay, WI 54311 Phone: 920-433-6700 Fax: 920-433-6719 | |
Mr. Thomas J Krahn, DPT, LAT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2502 S. Ashland Ave., Green Bay, WI 54304 Phone: 920-496-4750 | |
Tony James Busse, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1920 Libal St, Green Bay, WI 54301 Phone: 920-433-0111 Fax: 920-433-8765 | |
Jill Ball, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1760 Shawano Ave, Green Bay, WI 54303 Phone: 605-830-8227 |