Sport & Spine Clinic Of Wittenberg is a medicare enrolled "Clinic/center - Physical Therapy" provider in Wittenberg, Wisconsin. Their current practice location is
105 N Genesee St, Wittenberg, Wisconsin. You can reach out to their office (for appointments etc.) via phone at
(715) 253-2939.
Sport & Spine Clinic Of Wittenberg is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Sport & Spine Clinic Of Wittenberg
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1508943481.
Healthcare Provider's Profile
| Full Name | Sport & Spine Clinic Of Wittenberg |
|---|
| Type | Facility |
|---|
| Speciality | Clinic/center - Physical Therapy |
|---|
| Location | 105 N Genesee St, Wittenberg, Wisconsin |
|---|
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1508943481
- Provider Enumeration Date: 10/31/2006
- Last Update Date: 03/26/2020
Medicare PECOS Information:
- PECOS PAC ID: 4284840455
- Enrollment ID: O20120124000197
Medical Identifiers
Medical identifiers for Sport & Spine Clinic Of Wittenberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508943481 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sport & Spine Clinic Of Wittenberg is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Sport & Spine Clinic Of Wittenberg
1300 W Sam Houston Pkwy S, Suite 300,
Houston, TX 77042-2447
Ph: (713) 297-7000 | Sport & Spine Clinic Of Wittenberg
105 N Genesee St,
Wittenberg, WI 54499-9176
Ph: (715) 253-2939 |
Reviews and Comments