| Jacob David Miller, | |
|
700 West Ave S, La Crosse, WI 54601-4783 | |
| (608) 785-0940 | |
| Not Available |
| Full Name | Jacob David Miller |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 5 Years |
| Location | 700 West Ave S, La Crosse, 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 |
|---|---|---|---|
| 1619647062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 12235 (Minnesota) | Secondary |
| 225100000X | Physical Therapist | 15624 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Capitol Physical Therapy Specialists Llc | 4981931466 | 16 |
| Provider Name | Mayo Clinic Health System-southwest Wisconsin Region Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1629056049 PECOS PAC ID: 0345152443 Enrollment ID: O20031110000684 |
| Provider Name | Associated Physicians, Llp |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1861412785 PECOS PAC ID: 7719953306 Enrollment ID: O20040903001206 |
| Provider Name | Capitol Physical Therapy Specialists Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1184286932 PECOS PAC ID: 4981931466 Enrollment ID: O20190806002831 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob David Miller, 200 1st St Sw, Rochester, MN 55905-0001 Ph: () - | Jacob David Miller, 700 West Ave S, La Crosse, WI 54601-4783 Ph: (608) 785-0940 |
Thomas S Holland, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Hanni R Cowley, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 800 West Ave S, La Crosse, WI 54601 Phone: 608-785-0940 | |
Amy Ruth Juel, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Dr. John Frederick Greany, PT, PHD Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3501 Park Lane Dr, La Crosse, WI 54601 Phone: 608-519-9373 Fax: 608-790-9477 | |
Julie A. Olson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 West Ave S, La Crosse, WI 54601 Phone: 608-785-0940 | |
Charlene M Deters, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Samuel Wenzlaff, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 |