Lucas D Gauthier, DPT | |
1931 Marinette Ave, Marinette, WI 54143-3801 | |
(715) 735-5500 | |
(715) 735-5502 |
Full Name | Lucas D Gauthier |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 11 Years |
Location | 1931 Marinette Ave, Marinette, 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 |
---|---|---|---|
1033690003 | NPI | - | NPPES |
14425-24 | Other | WI | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 14425-24 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advanced Physical Therapy And Sports Medicine Sc | 2365432903 | 61 |
Advanced Physical Therapy And Sports Medicine Sc | 2365432903 | 61 |
Provider Name | Advanced Physical Therapy & Sports Medicine Sc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1407857790 PECOS PAC ID: 2365432903 Enrollment ID: O20040514001027 |
Mailing Address | Practice Location Address |
---|---|
Lucas D Gauthier, DPT 2105 E Enterprise Ave Ste 113, Appleton, WI 54913-7862 Ph: (920) 560-1083 | Lucas D Gauthier, DPT 1931 Marinette Ave, Marinette, WI 54143-3801 Ph: (715) 735-5500 |
Heidi Kathryn Bergman, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3117 Shore Dr Ste 101, Marinette, WI 54143 Phone: 715-732-5111 Fax: 715-732-8220 | |
Page Lewandowski, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 Hall Ave Ste B, Marinette, WI 54143 Phone: 715-732-7700 | |
Mr. Jason K Koenigs, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1281 Marinette Ave, Marinette, WI 54143 Phone: 715-735-5500 Fax: 715-735-5502 | |
Tadeusz Filon, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: N3027 Woodland Rd, Marinette, WI 54143 Phone: 715-732-9476 | |
The Wellness Clinic Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1281 Marinette Ave, Marinette, WI 54143 Phone: 715-735-5500 Fax: 715-735-5502 | |
Brian L Peterson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2820 Roosevelt Rd, Marinette, WI 54143 Phone: 715-735-5225 Fax: 715-732-5388 |