Ms Mary Katherine Marzano, PT | |
15350 W National Ave, Suite #109, New Berlin, WI 53151-5158 | |
(262) 789-0970 | |
(262) 789-7817 |
Full Name | Ms Mary Katherine Marzano |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 15350 W National Ave, New Berlin, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770508764 | NPI | - | NPPES |
36126500 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 3199-024 (Wisconsin) | Primary |
Provider Name | Sixteenth Street Community Health Centers Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1417912999 PECOS PAC ID: 6709876857 Enrollment ID: O20040512001352 |
Mailing Address | Practice Location Address |
---|---|
Ms Mary Katherine Marzano, PT 3719 N 86th St, Milwaukee, WI 53222-2829 Ph: (414) 463-9882 | Ms Mary Katherine Marzano, PT 15350 W National Ave, Suite #109, New Berlin, WI 53151-5158 Ph: (262) 789-0970 |
Scott D Brau, Physical Therapist Medicare: Medicare Enrolled Practice Location: 15175 W National Ave, New Berlin, WI 53151 Phone: 262-649-2135 Fax: 262-229-8716 | |
Joseph Ogden, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15175 W National Ave, New Berlin, WI 53151 Phone: 262-649-2135 Fax: 262-229-8716 | |
Kristin Grace Heinz, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15312 W Beloit Rd, New Berlin, WI 53151 Phone: 262-641-5771 | |
Mr. Susan Schober Kinosian, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2895 S Moorland Rd, New Berlin, WI 53151 Phone: 262-782-9015 Fax: 262-782-9013 | |
Mara M. Spencer, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14555 W National Ave, Ste. 135, New Berlin, WI 53151 Phone: 262-827-3180 Fax: 262-827-3180 | |
David Campbell Raupp, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15465 W Howard Ave, New Berlin, WI 53151 Phone: 262-786-4422 | |
Ms. Lisa M Hollman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4805 S Moorland Rd, New Berlin, WI 53151 Phone: 262-798-7200 Fax: 262-798-7201 |