| Heidi Kathryn Bergman, PT, DPT | |
|
3117 Shore Dr Ste 101, Marinette, WI 54143-4293 | |
| (715) 732-5111 | |
| (715) 732-8220 |
| Full Name | Heidi Kathryn Bergman |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 3117 Shore Dr Ste 101, Marinette, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073130670 | NPI | - | NPPES |
| 100100866 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | 15011-24 (Wisconsin) | Secondary |
| 225100000X | Physical Therapist | 15011-24 (Wisconsin) | Primary |
| Provider Name | Aurora Medical Group, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| 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 |
|---|---|
| Heidi Kathryn Bergman, PT, DPT 1731 Sunnyside Ln, De Pere, WI 54115-3465 Ph: (920) 676-9514 | Heidi Kathryn Bergman, PT, DPT 3117 Shore Dr Ste 101, Marinette, WI 54143-4293 Ph: (715) 732-5111 |
Lucas D Gauthier, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1931 Marinette Ave, Marinette, WI 54143 Phone: 715-735-5500 Fax: 715-735-5502 | |
Page Lewandowski, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 Hall Ave Ste B, Marinette, WI 54143 Phone: 715-732-7700 | |
Mr. Jason K Koenigs, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1281 Marinette Ave, Marinette, WI 54143 Phone: 715-735-5500 Fax: 715-735-5502 | |
Tadeusz Filon, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: N3027 Woodland Rd, Marinette, WI 54143 Phone: 715-732-9476 | |
The Wellness Clinic Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1281 Marinette Ave, Marinette, WI 54143 Phone: 715-735-5500 Fax: 715-735-5502 | |
Brian L Peterson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2820 Roosevelt Rd, Marinette, WI 54143 Phone: 715-735-5225 Fax: 715-732-5388 |