| Brian L Peterson, DPT | |
|
2820 Roosevelt Rd, Marinette, WI 54143-3834 | |
| (715) 735-5225 | |
| (715) 732-5388 |
| Full Name | Brian L Peterson |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 13 Years |
| Location | 2820 Roosevelt Rd, Marinette, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144655937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 12413-24 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oconto Hospital And Medical Center Inc | 2163461781 | 188 |
| Provider Name | Bellin Memorial Hospital Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1609838473 PECOS PAC ID: 8820900749 Enrollment ID: O20031121000089 |
| Provider Name | Oconto Hospital & Medical Center Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1356373302 PECOS PAC ID: 2163461781 Enrollment ID: O20050713000836 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian L Peterson, DPT Po Box 22487, Green Bay, WI 54305-2487 Ph: (920) 445-7222 | Brian L Peterson, DPT 2820 Roosevelt Rd, Marinette, WI 54143-3834 Ph: (715) 735-5225 |
Samantha Jean Shallow, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2820 Roosevelt Rd, Marinette, WI 54143 Phone: 920-430-4880 | |
Lucas D Gauthier, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1931 Marinette Ave, Marinette, WI 54143 Phone: 715-735-5500 Fax: 715-735-5502 | |
Heidi Kathryn Bergman, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3117 Shore Dr Ste 101, Marinette, WI 54143 Phone: 715-732-5111 Fax: 715-732-8220 | |
Page Lewandowski, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 Hall Ave Ste B, Marinette, WI 54143 Phone: 715-732-7700 | |
Mr. Jason K Koenigs, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1931 Marinette Ave, Marinette, WI 54143 Phone: 715-735-5500 | |
Tadeusz Filon, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: N3027 Woodland Rd, Marinette, WI 54143 Phone: 715-732-9476 | |
The Wellness Clinic Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1281 Marinette Ave, Marinette, WI 54143 Phone: 715-735-5500 Fax: 715-735-5502 |