| Brianne T Jacobson, PT | |
|
818 Forest Ln, Waterford, WI 53185-4585 | |
| (262) 514-8177 | |
| Not Available |
| Full Name | Brianne T Jacobson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 818 Forest Ln, Waterford, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922543081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 13549-24 (Wisconsin) | Primary |
| Provider Name | Aurora Medical Group, Inc. |
|---|---|
| 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 |
|---|---|
| Brianne T Jacobson, PT 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (414) 389-2233 | Brianne T Jacobson, PT 818 Forest Ln, Waterford, WI 53185-4585 Ph: (262) 514-8177 |
Dawn Shuda, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1701 Sharp Rd, Waterford, WI 53185 Phone: 262-534-7297 Fax: 262-534-7257 | |
Matthew Ferlindes, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 315 N Milwaukee St, Waterford, WI 53185 Phone: 262-514-2700 | |
Jennifer M. Johnston, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 315 N Milwaukee St, Waterford, WI 53185 Phone: 262-514-2700 Fax: 262-514-3003 | |
Stacey Schmidt, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1701 Sharp Rd, Waterford, WI 53185 Phone: 262-534-7297 Fax: 262-534-7257 | |
Jose Crespo, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 315 N Milwaukee St, Waterford, WI 53185 Phone: 262-514-2700 Fax: 262-514-3003 | |
Sadie Tenhagen, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 315 N Milwaukee St, Waterford, WI 53185 Phone: 262-558-8599 Fax: 262-758-5468 | |
Rachel Casleton, DPT,PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1701 Sharp Rd, Waterford, WI 53185 Phone: 262-534-7297 |