| Mary Therese Billerbeck, | |
|
414 William St, Racine, WI 53402-4262 | |
| (262) 497-9147 | |
| Not Available |
| Full Name | Mary Therese Billerbeck |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine |
| Location | 414 William St, Racine, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427867449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2081P0010X | Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine | 2882-24 (Wisconsin) | Primary |
| Entity Name | Affiliated Health Of Wisconsin Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063433977 PECOS PAC ID: 4880670835 Enrollment ID: O20040629000727 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Therese Billerbeck, 414 William St, Racine, WI 53402-4262 Ph: (262) 497-9147 | Mary Therese Billerbeck, 414 William St, Racine, WI 53402-4262 Ph: (262) 497-9147 |
Dr. Subbanna Jayaprakash, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3811 Spring St, Suite 301, Racine, WI 53405 Phone: 262-687-6262 Fax: 262-687-6261 | |
Mr. Andrew Mach, P.T.A. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1455 Hickory Way, Racine, WI 53405 Phone: 262-880-9561 |