Matthew Allen Hoffman, PT | |
700 Geneva Pkwy N, Lake Geneva, WI 53147-4594 | |
(262) 249-3500 | |
Not Available |
Full Name | Matthew Allen Hoffman |
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Gender | Male |
Speciality | Physical Therapist |
Location | 700 Geneva Pkwy N, Lake Geneva, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003871716 | NPI | - | NPPES |
100031530 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070.018066 (Illinois) | Secondary |
225100000X | Physical Therapist | 11652-24 (Wisconsin) | Primary |
Provider Name | Beloit Health System Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1679616361 PECOS PAC ID: 8224947858 Enrollment ID: O20031215000424 |
Mailing Address | Practice Location Address |
---|---|
Matthew Allen Hoffman, PT Po Box 735041, Chicago, IL 60673-5041 Ph: () - | Matthew Allen Hoffman, PT 700 Geneva Pkwy N, Lake Geneva, WI 53147-4594 Ph: (262) 249-3500 |
Erin E Mahoney, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 Geneva Pkwy N, Lake Geneva, WI 53147 Phone: 262-249-3500 | |
Madalyn R Douglas, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 262-245-4980 Fax: 262-245-2248 | |
Kelly J Pauley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 262-245-0535 | |
Kimberly K Dama, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 262-245-0535 | |
Mrs. Tara M. Grocholski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 Geneva Pkwy N, Lake Geneva, WI 53147 Phone: 262-249-3500 | |
Carling M. Johns, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 800-638-2901 Fax: 262-245-2248 |