Lisa A Vivian, PT in Green Bay, WI - Medicare Physical Therapy Provider

Lisa A Vivian, PT is a medicare enrolled "Physical Therapist" provider in Green Bay, Wisconsin. She graduated from medical school in 1984 and has 40 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Orthopedic And Spine Therapy Of Green Bay Sc and her current practice location is 211 N Broadway Ste 105, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 432-9040.

Lisa A Vivian is licensed to practice in Wisconsin (license number 3704-024) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1285940098.

Contact Information

	Lisa A Vivian, PT
	211 N Broadway Ste 105, Green Bay, WI 54303-2757
	(920) 432-9040
	(920) 432-9053

Map and Direction

Healthcare Provider's Profile

Full Name	Lisa A Vivian
Gender	Female
Speciality	Physical Therapy
Experience	40 Years
Location	211 N Broadway Ste 105, Green Bay, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lisa A Vivian graduated from medical school in 1984

NPI Data:

NPI Number: 1285940098
Provider Enumeration Date: 08/31/2010
Last Update Date: 08/31/2010

Medicare PECOS Information:

PECOS PAC ID: 6800083007
Enrollment ID: I20101214001108

Medical Identifiers

Medical identifiers for Lisa A Vivian such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285940098	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	3704-024 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Orthopedic And Spine Therapy Of Green Bay Sc	3072416502	4

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lisa A Vivian allows following entities to bill medicare on her behalf.

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 Green Bay Sc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1558477307 PECOS PAC ID: 3072416502 Enrollment ID: O20040130000723

Provider Name	Orthopedic & Spine Therapy Of Brillion, Sc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1154368843 PECOS PAC ID: 7416945688 Enrollment ID: O20040505000889

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. Lisa A Vivian 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
Lisa A Vivian, PT 4000 N Providence Ave, Appleton, WI 54913-8018 Ph: (920) 257-2000	Lisa A Vivian, PT 211 N Broadway Ste 105, Green Bay, WI 54303-2757 Ph: (920) 432-9040

Reviews and Comments

Physical Therapist in Green Bay, WI

Anne Marie Hein, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3101 S Packerland Dr, Green Bay, WI 54313 Phone: 920-592-3845
Breanna Marie Peters, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1660 Hoffman Rd, Green Bay, WI 54311 Phone: 920-351-8725
Ellen Linskens, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8000
Alexander Lee Peterson, D-PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3263 Eaton Rd, Green Bay, WI 54311 Phone: 920-433-6700 Fax: 920-433-6719
Mr. Thomas J Krahn, DPT, LAT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2502 S. Ashland Ave., Green Bay, WI 54304 Phone: 920-496-4750
Tony James Busse, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1920 Libal St, Green Bay, WI 54301 Phone: 920-433-0111 Fax: 920-433-8765
Jill Ball, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1760 Shawano Ave, Green Bay, WI 54303 Phone: 605-830-8227

Lisa A Vivian, PT - Medicare Physical Therapist in Green Bay, WI