Mr Gregory Stephan Vergamini, PT, ATC is a
Specialist/technologist - Athletic Trainer based in Superior, Wisconsin. Mr Gregory Stephan Vergamini is licensed to practice in Wisconsin (license number 23-039) and his current practice location is
3500 Tower Ave, Superior, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(715) 395-5454.
NPI number for Mr Gregory Stephan Vergamini is 1043384985 and his current mailing address is 3500 Tower Ave, Superior, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043384985.
Healthcare Provider's Profile
Full Name | Mr Gregory Stephan Vergamini |
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Gender | Male |
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Speciality | Specialist/technologist - Athletic Trainer |
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Location | 3500 Tower Ave, Superior, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1043384985
- Provider Enumeration Date: 11/20/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Gregory Stephan Vergamini such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043384985 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2251S0007X | Physical Therapist - Sports | 1790-024 (Wisconsin) | Primary |
2251S0007X | Physical Therapist - Sports | 1543 (Minnesota) | Primary |
2255A2300X | Specialist/technologist - Athletic Trainer | 23-039 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Gregory Stephan Vergamini is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Gregory Stephan Vergamini, PT, ATC 3500 Tower Ave, Superior, WI 54880-5335 Ph: (715) 395-5454 | Mr Gregory Stephan Vergamini, PT, ATC 3500 Tower Ave, Superior, WI 54880-5335 Ph: (715) 395-5454 |
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