Shawn Lee Mains, PT | |
909 S Washburn St, Oshkosh, WI 54904-8051 | |
(920) 235-8966 | |
(920) 235-1526 |
Full Name | Shawn Lee Mains |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 33 Years |
Location | 909 S Washburn St, Oshkosh, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063487098 | NPI | - | NPPES |
40221500 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 4369-024 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fletcher Chiropractic Office Sc | 4385894823 | 5 |
Provider Name | Fletcher Chiropractic Office Sc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1578825535 PECOS PAC ID: 4385894823 Enrollment ID: O20121018000675 |
Mailing Address | Practice Location Address |
---|---|
Shawn Lee Mains, PT 909 S Washburn St, Oshkosh, WI 54904-8051 Ph: (920) 235-8966 | Shawn Lee Mains, PT 909 S Washburn St, Oshkosh, WI 54904-8051 Ph: (920) 235-8966 |
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