St Clare Memorial Hosptial Physical Therapy Gillett Health Center is a
Physical Therapist based in Gillett, Wisconsin. St Clare Memorial Hosptial Physical Therapy Gillett Health Center is licensed to practice in * (Not Available) (license number ) and their current practice location is
340 N Green Bay Ave, Gillett, Wisconsin. It can be reached at their office (for appointments etc.) via phone at
(920) 855-2823.
NPI number for St Clare Memorial Hosptial Physical Therapy Gillett Health Center is 1700107844 and their current mailing address is 855 S Main St, Oconto Falls, Wisconsin. St Clare Memorial Hosptial Physical Therapy Gillett Health Center
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1700107844.
Healthcare Provider's Profile
| Full Name | St Clare Memorial Hosptial Physical Therapy Gillett Health Center |
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| Type | Facility |
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| Speciality | Physical Therapist |
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| Location | 340 N Green Bay Ave, Gillett, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1700107844
- Provider Enumeration Date: 06/11/2010
- Last Update Date: 12/23/2021
Medical Identifiers
Medical identifiers for St Clare Memorial Hosptial Physical Therapy Gillett Health Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700107844 | NPI | - | NPPES |
| 1851477913 | Other | | CMH NPI |
| 1417188673 | Other | WI | BURKEL NPI |
| 11014110 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (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. St Clare Memorial Hosptial Physical Therapy Gillett Health Center is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
St Clare Memorial Hosptial Physical Therapy Gillett Health Center
855 S Main St,
Oconto Falls, WI 54154-1241
Ph: (920) 846-3444 | St Clare Memorial Hosptial Physical Therapy Gillett Health Center
340 N Green Bay Ave,
Gillett, WI 54124-9325
Ph: (920) 855-2823 |
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