Mr Caleb Vizina, DPT | |
2300 S Ashland Ave, Green Bay, WI 54304-5213 | |
(920) 496-4700 | |
Not Available |
Full Name | Mr Caleb Vizina |
---|---|
Gender | Male |
Speciality | Physical Therapist - Orthopedic |
Location | 2300 S Ashland Ave, Green Bay, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750757522 | NPI | - | NPPES |
10078 | Other | MN | MINNESOTA PHYSICAL THERAPY LICENSE |
100264285 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | 10078 (Minnesota) | Secondary |
2251X0800X | Physical Therapist - Orthopedic | 14251-24 (Wisconsin) | Primary |
Provider Name | St. Nicholas Hospital-sisters Of The Third Order Of St Francis |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1275799413 PECOS PAC ID: 8325931652 Enrollment ID: O20040202001172 |
Provider Name | St Vincent Hospital-hospital Sisters-third Order Of St Francis |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423 |
Mailing Address | Practice Location Address |
---|---|
Mr Caleb Vizina, DPT Po Box 19070, Green Bay, WI 54307-9070 Ph: (920) 496-4700 | Mr Caleb Vizina, DPT 2300 S Ashland Ave, Green Bay, WI 54304-5213 Ph: (920) 496-4700 |
Anne Marie Hein, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3101 S Packerland Dr, Green Bay, WI 54313 Phone: 920-592-3845 | |
Breanna Marie Peters, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1660 Hoffman Rd, Green Bay, WI 54311 Phone: 920-351-8725 | |
Ellen Linskens, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8000 | |
Alexander Lee Peterson, D-PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3263 Eaton Rd, Green Bay, WI 54311 Phone: 920-433-6700 Fax: 920-433-6719 | |
Mr. Thomas J Krahn, DPT, LAT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2502 S. Ashland Ave., Green Bay, WI 54304 Phone: 920-496-4750 | |
Tony James Busse, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1920 Libal St, Green Bay, WI 54301 Phone: 920-433-0111 Fax: 920-433-8765 | |
Jill Ball, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1760 Shawano Ave, Green Bay, WI 54303 Phone: 605-830-8227 |