Mark David Smith, PT | |
1507 W Knapp St, Rice Lake, WI 54866 | |
(877) 823-0508 | |
(715) 236-3615 |
Full Name | Mark David Smith |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 26 Years |
Location | 1507 W Knapp St, Rice Lake, 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 |
---|---|---|---|
1316995525 | NPI | - | NPPES |
40312100 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 6121024 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Optimum Therapies Of Rice Lake | 3678904042 | 5 |
Chippewa Valley Orthopedics And Sports Medicine Clinic Sc | 7618948399 | 28 |
Provider Name | Optimum Therapies, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1356463087 PECOS PAC ID: 3375430028 Enrollment ID: O20040228000087 |
Provider Name | Chippewa Valley Orthopedics And Sports Medicine Clinic Sc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1699778829 PECOS PAC ID: 7618948399 Enrollment ID: O20040805000011 |
Provider Name | Optimum Therapies Of Rice Lake |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1992338909 PECOS PAC ID: 3678904042 Enrollment ID: O20200519002111 |
Mailing Address | Practice Location Address |
---|---|
Mark David Smith, PT 517 E Clairemont Ave, Eau Claire, WI 54701-6479 Ph: (715) 855-0408 | Mark David Smith, PT 1507 W Knapp St, Rice Lake, WI 54866 Ph: (877) 823-0508 |
Samantha Barg, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1035 N. Main Street, Rice Lake, WI 54868 Phone: 936-203-3328 | |
Randall Roseen, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-0753 | |
Natures Edge Therapy Center Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2523 14 3/4 Ave, Rice Lake, WI 54868 Phone: 715-859-6670 | |
Michelle J Perlick, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1051 West Ave, Rice Lake, WI 54868 Phone: 715-719-0662 | |
Ashley Rae Knutson, DPT, LAT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1051 West Ave, Rice Lake, WI 54868 Phone: 715-719-0662 | |
Lakeview Medical Center, Inc. Of Rice Lake Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 N Main St, Rice Lake, WI 54868 Phone: 715-234-1515 Fax: 715-234-4465 | |
Beth J Brown, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1507 W Knapp St, Rice Lake, WI 54868 Phone: 877-823-0508 Fax: 866-245-8064 |