Mrs Jan M Brockman, PT is a
Physical Therapist based in Pittsville, Wisconsin. Mrs Jan M Brockman is licensed to practice in Wisconsin (license number 4058-024) and her current practice location is
5308 2nd Ave, Pittsville, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(715) 884-2333.
NPI number for Mrs Jan M Brockman is 1497780472 and her current mailing address is Po Box 276, Pittsville, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497780472.
Healthcare Provider's Profile
Full Name | Mrs Jan M Brockman |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 5308 2nd Ave, Pittsville, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1497780472
- Provider Enumeration Date: 07/11/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Jan M Brockman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497780472 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 4058-024 (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. Mrs Jan M Brockman 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 Jan M Brockman, PT Po Box 276, Pittsville, WI 54466-0276 Ph: (715) 884-2333 | Mrs Jan M Brockman, PT 5308 2nd Ave, Pittsville, WI 54466 Ph: (715) 884-2333 |
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