Kent Carlson, PT, MPT | |
2835 N Grandview Blvd, Suite 100, Pewaukee, WI 53072-5546 | |
(262) 574-5185 | |
(262) 574-5193 |
Full Name | Kent Carlson |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 23 Years |
Location | 2835 N Grandview Blvd, 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 |
---|---|---|---|
1477719151 | NPI | - | NPPES |
1477719151 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 10398-024 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Keystone Physical Therapy Llc | 6103236187 | 5 |
Provider Name | Keystone Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1427196765 PECOS PAC ID: 6103236187 Enrollment ID: O20201103000407 |
Mailing Address | Practice Location Address |
---|---|
Kent Carlson, PT, MPT 4240 S Coventry Rd, New Berlin, WI 53151-6145 Ph: () - | Kent Carlson, PT, MPT 2835 N Grandview Blvd, Suite 100, Pewaukee, WI 53072-5546 Ph: (262) 574-5185 |
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 |