Matthew Steven Blievernicht, DPT | |
N15w28300 Golf Rd, Pewaukee, WI 53072-4800 | |
(262) 303-5055 | |
(262) 303-5057 |
Full Name | Matthew Steven Blievernicht |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 16 Years |
Location | N15w28300 Golf Rd, Pewaukee, 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 |
---|---|---|---|
1760640213 | NPI | - | NPPES |
100257659 | Medicaid | WI | |
P00802449 | Other | OR | RR MEDICARE |
500609437 | Medicaid | OR | |
0252231 | Other | OR | WASHINGTON L&I |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5973 (Oregon) | Secondary |
225100000X | Physical Therapist | 11016 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Orthopaedic Associates Of Wisconsin Sc | 1052200953 | 76 |
Provider Name | Orthopaedic Associates Of Wisconsin Sc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1689656951 PECOS PAC ID: 1052200953 Enrollment ID: O20040310001280 |
Provider Name | Athletic & Therapeutic Institute Of Milwaukee, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1801907464 PECOS PAC ID: 2062469190 Enrollment ID: O20140616000469 |
Mailing Address | Practice Location Address |
---|---|
Matthew Steven Blievernicht, DPT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Matthew Steven Blievernicht, DPT N15w28300 Golf Rd, Pewaukee, WI 53072-4800 Ph: (262) 303-5055 |
Kirkland Crossings Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 Quinlan Dr, Pewaukee, WI 53072 Phone: 651-631-6570 | |
Meredith Lynn Deback-gast, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: N15w28300 Golf Rd, Pewaukee, WI 53072 Phone: 262-303-5055 | |
Alexander Daniel Zacharias, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2835 N Grandview Blvd Ste 100, Pewaukee, WI 53072 Phone: 262-574-1100 Fax: 262-574-5193 | |
Rebecca Jean Thomas, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 203 W Wisconsin Ave, Pewaukee, WI 53072 Phone: 262-408-8923 | |
Annika Claire Haley, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: N15w28300 Golf Rd, Pewaukee, WI 53072 Phone: 262-303-5055 Fax: 262-303-5057 | |
Heidi Laurel Lasnoski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1177 Quail Ct Ste 200, Pewaukee, WI 53072 Phone: 262-695-3057 Fax: 262-695-3063 | |
Alison E Hoff, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2835 N Grandview Blvd, Suite 100, Pewaukee, WI 53072 Phone: 262-574-5185 Fax: 262-574-5193 |