Lakeland Physical Therapy L.l.c. - Medicare in Cornell, WI

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Lakeland Physical Therapy L.l.c. is a medicare enrolled "Clinic/center - Physical Therapy" provider in Cornell, Wisconsin. Their current practice location is 27477 State Highway 64, Suite C, Cornell, Wisconsin. You can reach out to their office (for appointments etc.) via phone at (715) 239-0555.

Lakeland Physical Therapy L.l.c. is licensed to practice in Wisconsin (license number 10210-024) and it also participates in the medicare program. Lakeland Physical Therapy L.l.c. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1639492085.

Contact Information

Lakeland Physical Therapy L.l.c.
27477 State Highway 64, Suite C,
Cornell, WI 54732-5222
(715) 239-0555
(715) 239-0556

Map and Direction




Healthcare Provider's Profile

Full NameLakeland Physical Therapy L.l.c.
TypeFacility
SpecialityClinic/center - Physical Therapy
Location27477 State Highway 64, Cornell, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639492085
  • Provider Enumeration Date: 03/11/2010
  • Last Update Date: 07/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6709919046
  • Enrollment ID: O20100806000214

Medical Identifiers

Medical identifiers for Lakeland Physical Therapy L.l.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639492085NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2251P0200XPhysical Therapist - Pediatrics (* (Not Available))Secondary
225X00000XOccupational Therapist (* (Not Available))Secondary
225XP0200XOccupational Therapist - Pediatrics (* (Not Available))Secondary
261QH0700XClinic/center - Hearing And Speech (* (Not Available))Secondary
261QP2000XClinic/center - Physical Therapy 10210-024 (Wisconsin)Primary
273Y00000XRehabilitation Unit (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Lakeland Physical Therapy L.l.c. acts as a billing entity for following providers:
Provider NameLauren M Nelson Bobb
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598805210
PECOS PAC ID: 2860425295
Enrollment ID: I20050915000463
Provider NameMary Joy G Borton
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1780716605
PECOS PAC ID: 8426153057
Enrollment ID: I20070410000486
Provider NameJulie L Kammerud
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1780845875
PECOS PAC ID: 5698842797
Enrollment ID: I20080915000577
Provider NameCourtney Fedie
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1003328469
PECOS PAC ID: 5991069445
Enrollment ID: I20180509000111
Provider NameKayla M Francken
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1316506041
PECOS PAC ID: 7911231758
Enrollment ID: I20190627001215
Provider NameMelissa A Salmonson
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1588218291
PECOS PAC ID: 7012249618
Enrollment ID: I20191031001980
Provider NameMelissa A Zimmer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639786213
PECOS PAC ID: 3476969015
Enrollment ID: I20210308000327
Provider NameChelsey M Hall
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1992201750
PECOS PAC ID: 6002170081
Enrollment ID: I20210707003164
Provider NameShannon S Tanzer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1154468643
PECOS PAC ID: 1254738602
Enrollment ID: I20210928000436
Provider NameBrooke J Anderson
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1629761820
PECOS PAC ID: 9436510567
Enrollment ID: I20230804001520
Provider NameCourtney Jean Drury
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1871903799
PECOS PAC ID: 0446793822
Enrollment ID: I20240614000682

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lakeland Physical Therapy L.l.c. is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lakeland Physical Therapy L.l.c.
27477 State Highway 64, Suite C,
Cornell, WI 54732-5222

Ph: (715) 379-0916		Lakeland Physical Therapy L.l.c.
27477 State Highway 64, Suite C,
Cornell, WI 54732-5222

Ph: (715) 239-0555

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.