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.
Healthcare Provider's Profile
Full Name | Lakeland Physical Therapy L.l.c. |
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Type | Facility |
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Speciality | Clinic/center - Physical Therapy |
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Location | 27477 State Highway 64, Cornell, Wisconsin |
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Accepts Medicare Assignments | Medicare 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.
Identifier | Type | State | Issuer |
1639492085 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2251P0200X | Physical Therapist - Pediatrics | (* (Not Available)) | Secondary |
225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Secondary |
261QH0700X | Clinic/center - Hearing And Speech | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | 10210-024 (Wisconsin) | Primary |
273Y00000X | Rehabilitation 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 Name | Lauren M Nelson Bobb |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1598805210 PECOS PAC ID: 2860425295 Enrollment ID: I20050915000463 |
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Provider Name | Mary Joy G Borton |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1780716605 PECOS PAC ID: 8426153057 Enrollment ID: I20070410000486 |
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Provider Name | Julie L Kammerud |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1780845875 PECOS PAC ID: 5698842797 Enrollment ID: I20080915000577 |
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Provider Name | Kayla M Francken |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1316506041 PECOS PAC ID: 7911231758 Enrollment ID: I20190627001215 |
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Provider Name | Melissa A Zimmer |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1639786213 PECOS PAC ID: 3476969015 Enrollment ID: I20210308000327 |
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Provider Name | Courtney Jean Drury |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1871903799 PECOS PAC ID: 0446793822 Enrollment ID: I20240614000682 |
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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 Address | Practice 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 |
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