Maxwell Dechant, | |
1333 College Ave Ste B, South Milwaukee, WI 53172-1150 | |
(414) 571-9146 | |
(414) 571-9147 |
Full Name | Maxwell Dechant |
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Gender | Male |
Speciality | Physical Therapist |
Location | 1333 College Ave Ste B, South Milwaukee, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932652575 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 13578 - 24 (Wisconsin) | Primary |
Provider Name | Athletico Ltd |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20100913000433 |
Mailing Address | Practice Location Address |
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Maxwell Dechant, 625 Enterprise Dr, Oak Brook, IL 60523-8813 Ph: (630) 575-1980 | Maxwell Dechant, 1333 College Ave Ste B, South Milwaukee, WI 53172-1150 Ph: (414) 571-9146 |
Mara Natalie Bergee, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3821 S Chicago Ave, South Milwaukee, WI 53172 Phone: 414-762-7336 | |
Dr. Jill C Lyons, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3611 S Chicago Ave, Sutie 120, South Milwaukee, WI 53172 Phone: 414-766-2440 | |
Daniel M Glampe, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1333 College Ave Ste B, South Milwaukee, WI 53172 Phone: 414-571-9146 | |
Annette Michelle Schell, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3821 S Chicago Ave, South Milwaukee, WI 53172 Phone: 414-762-7336 Fax: 414-762-5077 | |
M & M Physical Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1333 College Ave, Suite B, South Milwaukee, WI 53172 Phone: 414-571-9146 Fax: 414-571-9147 | |
Dr. Jacqueline Ndientien Nchinda-pungong, BSC-PT, MSC, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3601 S Chicago Ave, South Milwaukee, WI 53172 Phone: 414-764-4100 | |
Mrs. Jennifer Ann Dummer, DPT, LMT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3601 S Chicago Ave, South Milwaukee, WI 53172 Phone: 414-570-5477 |