Ms Ami Depew, MPT | |
720 Ackley Street, Antigo, WI 54409 | |
(715) 623-2292 | |
(715) 627-2660 |
Full Name | Ms Ami Depew |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 720 Ackley Street, Antigo, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376617647 | NPI | - | NPPES |
40364700 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 6446024 (Wisconsin) | Primary |
Provider Name | Froedtert Manitowoc Medical Group, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1437829975 PECOS PAC ID: 2365836954 Enrollment ID: O20220224001282 |
Mailing Address | Practice Location Address |
---|---|
Ms Ami Depew, MPT 720 Ackley Street, Antigo, WI 54409 Ph: (715) 484-7206 | Ms Ami Depew, MPT 720 Ackley Street, Antigo, WI 54409 Ph: (715) 623-2292 |
Christina Leslie, Physical Therapist Medicare: Medicare Enrolled Practice Location: 112 E 5th Ave, Antigo, WI 54409 Phone: 715-623-2335 | |
Ms. Mindy Hoffman, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 112 E 5th Ave, Antigo, WI 54409 Phone: 715-623-9449 Fax: 715-623-9425 | |
Samantha Jean Stimac, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 112 E 5th Ave, Antigo, WI 54409 Phone: 715-623-9449 | |
Brittney Skarlupka, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 720 Ackley St Unit 13, Antigo, WI 54409 Phone: 715-623-2292 | |
Cara Lynn Rojas, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 112 E 5th Ave, Antigo, WI 54409 Phone: 715-623-2331 | |
Diane Peterson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 112 E 5th Ave, Antigo, WI 54409 Phone: 715-623-9462 | |
James P. Meinert, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 112 E 5th Ave, Antigo, WI 54409 Phone: 715-623-9449 Fax: 715-623-9425 |