Joseph R Waller, PT | |
E3277 Apple Tree Ln, Waupaca, WI 54981-7580 | |
(715) 256-0358 | |
(715) 256-0393 |
Full Name | Joseph R Waller |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 25 Years |
Location | E3277 Apple Tree Ln, Waupaca, 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 |
---|---|---|---|
1689618852 | NPI | - | NPPES |
40319100 | Medicaid | WI | |
64-07247 | Other | WI | MEDICA |
27F99WA | Other | MN | BCBS OF MN |
64-03552 | Other | WI | MEDICA |
650023250 | Other | WI | RAILROAD MEDICARE/POPLAR |
84251 | Other | WI | SECURITY HEALTH PLAN |
42B57WA | Other | MN | BCBS OF MN |
P00403685 | Other | WI | RAILROAD MEDICARE/NEW LONDON |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 6231-024 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Orthopedic And Spine Therapy Of Waupaca Sc | 2365475878 | 2 |
Provider Name | Orthopedic And Spine Therapy Of Menasha Sc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1831260611 PECOS PAC ID: 8123923869 Enrollment ID: O20031204001068 |
Provider Name | Orthopedic & Spine Therapy Of Poplar Sc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1245249879 PECOS PAC ID: 0840276234 Enrollment ID: O20040626000068 |
Provider Name | Orthopedic & Spine Therapy Of New London Sc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1437187135 PECOS PAC ID: 6901869411 Enrollment ID: O20041105000588 |
Provider Name | Orthopedic & Spine Therapy Of Waupaca Sc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1548298284 PECOS PAC ID: 2365475878 Enrollment ID: O20050915000261 |
Mailing Address | Practice Location Address |
---|---|
Joseph R Waller, PT 4000 N Providence Ave, Appleton, WI 54913-8018 Ph: (920) 257-2005 | Joseph R Waller, PT E3277 Apple Tree Ln, Waupaca, WI 54981-7580 Ph: (715) 256-0358 |
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 |