Samuel Jon Kortes, | |
531 E Washington St, West Bend, WI 53095-2531 | |
(872) 231-3162 | |
Not Available |
Full Name | Samuel Jon Kortes |
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Gender | Male |
Speciality | Physical Medicine & Rehabilitation |
Location | 531 E Washington St, West Bend, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1487116786 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 75951 (Wisconsin) | Primary |
Entity Name | Prohealth Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356322440 PECOS PAC ID: 3476465188 Enrollment ID: O20031103000066 |
Entity Name | Integrated Rehab Consultants Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528379195 PECOS PAC ID: 7810184892 Enrollment ID: O20121001000445 |
Mailing Address | Practice Location Address |
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Samuel Jon Kortes, Po Box 74008272, Chicago, IL 60674-8272 Ph: (702) 899-0595 | Samuel Jon Kortes, 531 E Washington St, West Bend, WI 53095-2531 Ph: (872) 231-3162 |
Stacy L Lynch, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1700 W Paradise Dr, West Bend, WI 53095 Phone: 262-334-3451 Fax: 262-306-2964 | |
Dr. Bradley Zenor Johnson, DPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1190 E Paradise Dr, West Bend, WI 53095 Phone: 262-306-6319 |