Michael A Wacker, PT | |
1501 Thompson St, Bloomer, WI 54724-1257 | |
(715) 568-2000 | |
Not Available |
Full Name | Michael A Wacker |
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Gender | Male |
Speciality | Physical Therapist |
Location | 1501 Thompson St, Bloomer, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164435574 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 6307 (Wisconsin) | Primary |
Provider Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1235588831 PECOS PAC ID: 4385553627 Enrollment ID: O20161109002075 |
Mailing Address | Practice Location Address |
---|---|
Michael A Wacker, PT 200 1st St Sw, Rochester, MN 55905-0001 Ph: (715) 838-5222 | Michael A Wacker, PT 1501 Thompson St, Bloomer, WI 54724-1257 Ph: (715) 568-2000 |
Jill M Jones, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1501 Thompson St, Bloomer, WI 54724 Phone: 715-569-2000 | |
Marissa Marie Seibel, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1731 17th Ave, Bloomer, WI 54724 Phone: 715-568-4669 Fax: 715-568-4673 | |
Christopher Ryan Thewis, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1501 Thompson St, Bloomer, WI 54724 Phone: 715-838-5222 | |
Jessica Roseen, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1402 Main St, Bloomer, WI 54724 Phone: 715-568-4669 | |
Laura Verbruggen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1731 17th Ave, Bloomer, WI 54724 Phone: 715-568-4669 Fax: 715-568-4673 | |
Jessica E Erickson-michels, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3075 155th Ave, Bloomer, WI 54724 Phone: 715-202-4097 |