William J Lyon, PT | |
12500 Aurora Dr, Pleasant Prairie, WI 53158-1227 | |
(262) 857-5000 | |
(262) 857-5001 |
Full Name | William J Lyon |
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Gender | Male |
Speciality | Physical Therapist |
Location | 12500 Aurora Dr, Pleasant Prairie, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023791241 | NPI | - | NPPES |
100247685 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 11720 (Wisconsin) | Primary |
Provider Name | Aurora Medical Group, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Mailing Address | Practice Location Address |
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William J Lyon, PT Po Box 735044, Chicago, IL 60673-5044 Ph: () - | William J Lyon, PT 12500 Aurora Dr, Pleasant Prairie, WI 53158-1227 Ph: (262) 857-5000 |
Stephanie L Frederickson, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12500 Aurora Dr, Pleasant Prairie, WI 53158 Phone: 262-857-5000 | |
Dr. Felice Kawka, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 10330 Prairie Ridge Blvd, Pleasant Prairie, WI 53158 Phone: 262-612-2856 | |
Mrs. Sumithra Rajendran, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9651 Prairie Ridge Blvd, Pleasant Prairie, WI 53158 Phone: 262-333-8158 | |
Camille Marie Koch, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9651 Prairie Ridge Blvd, Pleasant Prairie, WI 53158 Phone: 262-333-8158 | |
Zakkary A Perez,, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12500 Aurora Dr, Pleasant Prairie, WI 53158 Phone: 262-857-5000 | |
Dr. Michael James Mulroy, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12500 Aurora Dr, Pleasant Prairie, WI 53158 Phone: 262-857-5000 |