| Dr Shannon M Brickner, DPT | |
|
500 W Grant St, Lake City, MN 55041-1143 | |
| (651) 345-1129 | |
| Not Available |
| Full Name | Dr Shannon M Brickner |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 500 W Grant St, Lake City, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598318016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | 11497 (Minnesota) | Primary |
| Provider Name | Mayo Clinic Health System-lake City |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1164463659 PECOS PAC ID: 1951213487 Enrollment ID: O20031104000095 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shannon M Brickner, DPT 500 W Grant St, Lake City, MN 55041-1143 Ph: () - | Dr Shannon M Brickner, DPT 500 W Grant St, Lake City, MN 55041-1143 Ph: (651) 345-1129 |
Brandon Charles Voth, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 500 W Grant St, Lake City, MN 55041 Phone: 651-345-3321 | |
Nicholas Chamberlain, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 507 W Doughty St, Lake City, MN 55041 Phone: 651-345-2350 | |
Rebekah Richter, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 W Grant St, Lake City, MN 55041 Phone: 651-345-1129 | |
Scott Stuart Smith, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 507 W Doughty St, Lake City, MN 55041 Phone: 651-345-2350 Fax: 651-345-2238 | |
Steven Richard Johnson, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 W Grant St, Lake City, MN 55041 Phone: 651-345-1129 Fax: 651-345-6752 | |
Ms. Marcia Walker, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 W Grant St, Lake City, MN 55041 Phone: 651-345-6713 |