| Gina M Lange, PT, DPT | |
|
Occupational Health Sports Clinic, 1650 Lee Lane, Beloit, WI 53511-3945 | |
| (608) 364-4666 | |
| (608) 364-4670 |
| Full Name | Gina M Lange |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | Occupational Health Sports Clinic, Beloit, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487150504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Marshfield Clinic Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
| Provider Name | Beloit Health System Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1679616361 PECOS PAC ID: 8224947858 Enrollment ID: O20031215000424 |
| Provider Name | Mchs Hospitals Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
| Mailing Address | Practice Location Address |
|---|---|
| Gina M Lange, PT, DPT Beloit Health System Inc, 1969 W Hart Road, Beloit, WI 53511-2230 Ph: (608) 364-2293 | Gina M Lange, PT, DPT Occupational Health Sports Clinic, 1650 Lee Lane, Beloit, WI 53511-3945 Ph: (608) 364-4666 |
Amber Noel Slaybaugh, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 838 E. Azalea Ter., Beloit, WI 53511 Phone: 608-289-9797 | |
Nathaniel S Bothfeld, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1650 Lee Ln, Occupation Health Ports & Family Medicine Center, Beloit, WI 53511 Phone: 608-362-0211 Fax: 608-364-4670 | |
Kristie L. Latka, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1969 W Hart Rd, Beloit Health System Inc, Beloit, WI 53511 Phone: 608-364-5173 Fax: 608-363-5790 | |
Spine & Orthopedic Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2958 Prairie Ave Ste B, Beloit, WI 53511 Phone: 608-368-9783 | |
Dennis Home, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2737 Prairie Ave, Beloit, WI 53511 Phone: 608-299-8181 Fax: 608-299-8281 | |
Melinda Newton, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1905 W Hart Rd, Beloit, WI 53511 Phone: 608-365-7500 | |
Thomas Michael Valentine, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1905 E. Huebbe Parkway, Beloit Health System Inc, Beloit, WI 53511 Phone: 608-364-2200 |