Mrs Jeanette Marie De Witt, PT, ATC in Mount Pleasant, WI - Medicare Physical Therapist Provider

Mrs Jeanette Marie De Witt, PT, ATC is a medicare enrolled "Physical Therapist" provider in Mount Pleasant, Wisconsin. Her current practice location is 6233 Bankers Rd Ste 12, Mount Pleasant, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 358-6730.

Mrs Jeanette Marie De Witt is licensed to practice in Wisconsin (license number 11903-24) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1528087442.

Contact Information

	Mrs Jeanette Marie De Witt, PT, ATC
	6233 Bankers Rd Ste 12, Mount Pleasant, WI 53403-9700
	(262) 358-6730
	(866) 245-8064

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Jeanette Marie De Witt
Gender	Female
Speciality	Physical Therapist
Location	6233 Bankers Rd Ste 12, Mount Pleasant, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528087442
Provider Enumeration Date: 07/19/2006
Last Update Date: 03/01/2017

Medicare PECOS Information:

PECOS PAC ID: 3971765413
Enrollment ID: I20120430000626

Medical Identifiers

Medical identifiers for Mrs Jeanette Marie De Witt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528087442	NPI	-	NPPES
859400073	Other	WI	MEDICARE
1528087442	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	008334 (Ohio)	Secondary
225100000X	Physical Therapist	11903-24 (Wisconsin)	Primary
2255A2300X	Specialist/technologist - Athletic Trainer	1315-39 (Wisconsin)	Secondary
2255A2300X	Specialist/technologist - Athletic Trainer	001071 (Ohio)	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 Jeanette Marie De Witt is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Jeanette Marie De Witt, PT, ATC 6233 Bankers Rd Ste 12, Mount Pleasant, WI 53403-9700 Ph: (262) 358-6730	Mrs Jeanette Marie De Witt, PT, ATC 6233 Bankers Rd Ste 12, Mount Pleasant, WI 53403-9700 Ph: (262) 358-6730

Reviews and Comments

Physical Therapist in Mount Pleasant, WI

Cheryl Lasselle, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2210 N Fancher Rd, Mount Pleasant, WI 53406 Phone: 262-886-1956
Mark Stephen Suthoff, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5502 Washington Ave Ste 500, Mount Pleasant, WI 53406 Phone: 262-637-2470
Taylour R Iding, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5340 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-638-1272 Fax: 262-638-1287
Advanced Spine And Sport Rehabilitation Physical Therapist Medicare: Medicare Enrolled Practice Location: 6222 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-884-6418 Fax: 262-884-6489
Dr. Joshua Vincent Egle, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1103 Hunter Dr Ste 101, Mount Pleasant, WI 53406 Phone: 262-800-4440 Fax: 262-800-4434
Extend Physical Therapy And Wellness Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1648 Kuiper Ln, Mount Pleasant, WI 53406 Phone: 262-902-7881
Andrew James Hajduk, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5502 Washington Ave, Suite 500, Mount Pleasant, WI 53406 Phone: 262-637-2470

Mrs Jeanette Marie De Witt, PT, ATC - Medicare Physical Therapist in Mount Pleasant, WI