Mr Shane D Bauer, PT | |
355 N Peters Ave, Fond Du Lac, WI 54935-8258 | |
(920) 929-9712 | |
(920) 929-9715 |
Full Name | Mr Shane D Bauer |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 29 Years |
Location | 355 N Peters Ave, Fond Du Lac, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144200676 | NPI | - | NPPES |
40340300 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5173-024 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advanced Physical Therapy And Sports Medicine Sc | 2365432903 | 61 |
Provider Name | Advanced Physical Therapy & Sports Medicine Sc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1407857790 PECOS PAC ID: 2365432903 Enrollment ID: O20040514001027 |
Mailing Address | Practice Location Address |
---|---|
Mr Shane D Bauer, PT 2105 E Enterprise Ave Ste 113, Appleton, WI 54913-7862 Ph: (920) 991-2561 | Mr Shane D Bauer, PT 355 N Peters Ave, Fond Du Lac, WI 54935-8258 Ph: (920) 929-9712 |
Karene Marie Boos, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 115 E Arndt St, Fond Du Lac, WI 54935 Phone: 920-923-7054 | |
Associated Pediatric Therapists Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 N Park Ave, Fond Du Lac, WI 54935 Phone: 920-929-8858 Fax: 920-923-3038 | |
Megan Filbert, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 355 N Peters Ave, Fond Du Lac, WI 54935 Phone: 920-929-9712 | |
Marcus A Werner, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 355 N Peters Ave Ste 3a, Fond Du Lac, WI 54935 Phone: 920-560-1147 Fax: 920-560-1197 | |
Andrew J Stickel, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-5391 | |
Karie Garfoot, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: N7658 County Road Wh, Fond Du Lac, WI 54935 Phone: 920-907-1323 Fax: 920-907-1378 | |
Katherine A Krantz, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 421 Camelot Dr, Fond Du Lac, WI 54935 Phone: 920-926-8065 |