<unavail> in Appleton, WI - Medicare Physical Therapist Provider

is a medicare enrolled "Physical Therapist" provider in Appleton, Wisconsin. Their current practice location is 4835 N Cherryvale Ave, Appleton, Wisconsin. You can reach out to their office (for appointments etc.) via phone at (920) 427-0350.

is licensed to practice in Wisconsin (license number 9723-024) and it also participates in the medicare program. 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 1548375140.

Contact Information


	4835 N Cherryvale Ave, Appleton, WI 54913-9383
	(920) 427-0350
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name
Type	Facility
Speciality	Physical Therapist
Location	4835 N Cherryvale Ave, Appleton, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548375140
Provider Enumeration Date: 08/21/2006
Last Update Date: 04/22/2013

Medicare PECOS Information:

PECOS PAC ID: 8820094410
Enrollment ID: O20061004000264

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548375140	NPI	-	NPPES
WI1702001	Other	WI	MEDICARE INDIVIDUAL PTAN
WI1702	Other	WI	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	9723-024 (Wisconsin)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Gerald Ted Tate
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1396747010 PECOS PAC ID: 0042209058 Enrollment ID: I20040506000873

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. 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
4835 N Cherryvale Ave, Appleton, WI 54913-9383 Ph: (920) 427-0350	4835 N Cherryvale Ave, Appleton, WI 54913-9383 Ph: (920) 427-0350

Reviews and Comments

Physical Therapist in Appleton, WI

Orthopedic & Spine Therapy Of Menasha Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4000 N Providence Ave, Appleton, WI 54913 Phone: 920-257-2000
Ms. Jennifer Lynn Nevinski, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: N496 Milky Way, Appleton, WI 54915 Phone: 920-738-2960
Chandler Riem, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2105 N Enterprise Ave, Appleton, WI 54913 Phone: 920-560-1000
Kathleen M. Vandrunen, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2915 N Meade St, Appleton, WI 54911 Phone: 920-831-8711
Mrs. Lisa Katherine Buehler, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3375 W Brewster St, Appleton, WI 54914 Phone: 920-749-5870
David Michael Denell, MPT LAT/C Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 920-731-4101
Richelle Ag Fenter, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2200 S Kensington Drive, Appleton, WI 54915 Phone: 920-738-0200 Fax: 920-738-0383

- Medicare Physical Therapist in Appleton, WI