Francis Jason Dizon Medina, PT | |
702 W Dolf St, Colby, WI 54421-9604 | |
(715) 223-2352 | |
Not Available |
Full Name | Francis Jason Dizon Medina |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 702 W Dolf St, Colby, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407973290 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 10722024 (Wisconsin) | Primary |
Provider Name | Department Of State Hospitals |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1124078704 PECOS PAC ID: 9638174238 Enrollment ID: O20081031000305 |
Mailing Address | Practice Location Address |
---|---|
Francis Jason Dizon Medina, PT 311 W Kalsched St, Apt 115, Marshfield, WI 54449-1466 Ph: (310) 526-1704 | Francis Jason Dizon Medina, PT 702 W Dolf St, Colby, WI 54421-9604 Ph: (715) 223-2352 |
Chad A Bogdonovich, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 604b North Division St, Colby, WI 54421 Phone: 715-223-4060 Fax: 715-223-4032 | |
Mr. Charles Lee Bauman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 702 W Dolf St, Colby, WI 54421 Phone: 715-223-2352 | |
Michelle Rose Schwarting, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 702 W Dolf St, Colby, WI 54421 Phone: 715-223-2352 | |
Nicole Wittlinger Quarne, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 120 Dehne Road, Colby, WI 54421 Phone: 715-387-5529 | |
Lindsey Rae Theis, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 120 Dehne Dr Ste Abc, Colby, WI 54421 Phone: 715-223-6442 Fax: 715-223-2447 | |
Tara Maki, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 702 W Dolf St, Colby, WI 54421 Phone: 715-223-2352 |