Mrs Elizabeth A Bradt, PT is a
Physical Therapist based in Hazel Green, Wisconsin. Mrs Elizabeth A Bradt is licensed to practice in Wisconsin (license number 12902) and her current practice location is
1415 Green Dr, Hazel Green, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(734) 755-0139.
NPI number for Mrs Elizabeth A Bradt is 1043645880 and her current mailing address is 1415 Green Dr, Hazel Green, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043645880.
Healthcare Provider's Profile
| Full Name | Mrs Elizabeth A Bradt |
|---|
| Gender | Female |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 1415 Green Dr, Hazel Green, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1043645880
- Provider Enumeration Date: 09/12/2013
- Last Update Date: 12/31/2014
Medical Identifiers
Medical identifiers for Mrs Elizabeth A Bradt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043645880 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | PT011233 (Georgia) | Secondary |
| 225100000X | Physical Therapist | 12902 (Wisconsin) | Primary |
| 225100000X | Physical Therapist | 9808 (Minnesota) | Secondary |
| 225100000X | Physical Therapist | 005186 (Iowa) | Secondary |
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. Mrs Elizabeth A Bradt 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 |
|---|
Mrs Elizabeth A Bradt, PT
1415 Green Dr,
Hazel Green, WI 53811-9549
Ph: (734) 755-0139 | Mrs Elizabeth A Bradt, PT
1415 Green Dr,
Hazel Green, WI 53811-9549
Ph: (734) 755-0139 |
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