Phillip Scott Mitchell, DPT | |
1836 South Ave, La Crosse, WI 54601-5429 | |
(608) 782-7300 | |
Not Available |
Full Name | Phillip Scott Mitchell |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1836 South Ave, La Crosse, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144517053 | NPI | - | NPPES |
140816 | Medicaid | AL | |
51128755 | Other | AL | BLUE CROSS BLUE SHIELD OF ALABAMA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PTH6457 (Alabama) | Secondary |
225100000X | Physical Therapist | 13341 (Wisconsin) | Primary |
225100000X | Physical Therapist | 10587 (Minnesota) | Secondary |
Provider Name | Gundersen Clinic Ltd |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20031113000579 |
Mailing Address | Practice Location Address |
---|---|
Phillip Scott Mitchell, DPT 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | Phillip Scott Mitchell, DPT 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 |
Thomas S Holland, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Hanni R Cowley, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 800 West Ave S, La Crosse, WI 54601 Phone: 608-785-0940 | |
Amy Ruth Juel, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Dr. John Frederick Greany, PT, PHD Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3501 Park Lane Dr, La Crosse, WI 54601 Phone: 608-519-9373 Fax: 608-790-9477 | |
Julie A. Olson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 West Ave S, La Crosse, WI 54601 Phone: 608-785-0940 | |
Charlene M Deters, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Samuel Wenzlaff, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 |