Mr Michael John Scandin, PT LAT is a
Specialist/technologist - Athletic Trainer based in Wausau, Wisconsin. Mr Michael John Scandin is licensed to practice in Wisconsin (license number 540039) and his current practice location is
16 E Menard Plaza, Wausau, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(715) 845-2942.
NPI number for Mr Michael John Scandin is 1821048844 and his current mailing address is Po Box 1349, Sport & Spine Clinic, Wausau, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1821048844.
Healthcare Provider's Profile
| Full Name | Mr Michael John Scandin |
|---|
| Gender | Male |
|---|
| Speciality | Specialist/technologist - Athletic Trainer |
|---|
| Location | 16 E Menard Plaza, Wausau, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1821048844
- Provider Enumeration Date: 05/11/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Michael John Scandin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821048844 | NPI | - | NPPES |
| 4180500 | Medicaid | WI | |
| 29129 | Other | WI | SECURITY HEALTH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 3841024 (Wisconsin) | Primary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | 540039 (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 Michael John Scandin 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 Michael John Scandin, PT LAT
Po Box 1349, Sport & Spine Clinic,
Wausau, WI 54402-1349
Ph: (715) 845-2942 | Mr Michael John Scandin, PT LAT
16 E Menard Plaza,
Wausau, WI 54401
Ph: (715) 845-2942 |
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