Gary Shields, DPT | |
N15w28300 Golf Rd, Pewaukee, WI 53072-4800 | |
(262) 303-5055 | |
Not Available |
Full Name | Gary Shields |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 5 Years |
Location | N15w28300 Golf Rd, Pewaukee, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396304937 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 14763-24 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Orthopaedic Associates Of Wisconsin Sc | 1052200953 | 76 |
Provider Name | Freedom Physical Therapy Services Sc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1063406544 PECOS PAC ID: 8224938113 Enrollment ID: O20040108000955 |
Provider Name | Orthopaedic Associates Of Wisconsin Sc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1689656951 PECOS PAC ID: 1052200953 Enrollment ID: O20040310001280 |
Mailing Address | Practice Location Address |
---|---|
Gary Shields, DPT N15w28300 Golf Rd, Pewaukee, WI 53072-4800 Ph: (262) 303-5055 | Gary Shields, DPT N15w28300 Golf Rd, Pewaukee, WI 53072-4800 Ph: (262) 303-5055 |
Kirkland Crossings Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 Quinlan Dr, Pewaukee, WI 53072 Phone: 651-631-6570 | |
Meredith Lynn Deback-gast, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: N15w28300 Golf Rd, Pewaukee, WI 53072 Phone: 262-303-5055 | |
Alexander Daniel Zacharias, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2835 N Grandview Blvd Ste 100, Pewaukee, WI 53072 Phone: 262-574-1100 Fax: 262-574-5193 | |
Rebecca Jean Thomas, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 203 W Wisconsin Ave, Pewaukee, WI 53072 Phone: 262-408-8923 | |
Annika Claire Haley, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: N15w28300 Golf Rd, Pewaukee, WI 53072 Phone: 262-303-5055 Fax: 262-303-5057 | |
Heidi Laurel Lasnoski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1177 Quail Ct Ste 200, Pewaukee, WI 53072 Phone: 262-695-3057 Fax: 262-695-3063 | |
Alison E Hoff, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2835 N Grandview Blvd, Suite 100, Pewaukee, WI 53072 Phone: 262-574-5185 Fax: 262-574-5193 |