Mrs Melissa Diane Martin, PT | |
315 N Milwaukee St, Waterford, WI 53185-4432 | |
(262) 514-2700 | |
(262) 514-3003 |
Full Name | Mrs Melissa Diane Martin |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 28 Years |
Location | 315 N Milwaukee St, Waterford, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578565388 | NPI | - | NPPES |
40355700 | Medicaid | WI | |
859400075 | Other | WI | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5437-024 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Athletico Ltd | 4789602681 | 1963 |
Provider Name | Athletico Ltd |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20100913000433 |
Mailing Address | Practice Location Address |
---|---|
Mrs Melissa Diane Martin, PT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Mrs Melissa Diane Martin, PT 315 N Milwaukee St, Waterford, WI 53185-4432 Ph: (262) 514-2700 |
Dawn Shuda, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1701 Sharp Rd, Waterford, WI 53185 Phone: 262-534-7297 Fax: 262-534-7257 | |
Matthew Ferlindes, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 315 N Milwaukee St, Waterford, WI 53185 Phone: 262-514-2700 | |
Jennifer M. Johnston, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 315 N Milwaukee St, Waterford, WI 53185 Phone: 262-514-2700 Fax: 262-514-3003 | |
Stacey Schmidt, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1701 Sharp Rd, Waterford, WI 53185 Phone: 262-534-7297 Fax: 262-534-7257 | |
Jose Crespo, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 315 N Milwaukee St, Waterford, WI 53185 Phone: 262-514-2700 Fax: 262-514-3003 | |
Sadie Tenhagen, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 315 N Milwaukee St, Waterford, WI 53185 Phone: 262-558-8599 Fax: 262-758-5468 | |
Kyle F Sampson, Physical Therapist Medicare: Medicare Enrolled Practice Location: 315 N Milwaukee St, Waterford, WI 53185 Phone: 262-514-2700 Fax: 262-514-3003 |