| James Douglas Evansen, | |
|
500 S Oakwood Rd Ste 10, Oshkosh, WI 54904-7944 | |
| (920) 236-1868 | |
| Not Available |
| Full Name | James Douglas Evansen |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 8 Years |
| Location | 500 S Oakwood Rd Ste 10, Oshkosh, 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 |
|---|---|---|---|
| 1376012658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 14445 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Integrated Pain And Joint Care Sc | 3577784446 | 3 |
| Provider Name | Integrated Pain & Joint Care Sc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1396144127 PECOS PAC ID: 3577784446 Enrollment ID: O20141017000082 |
| Mailing Address | Practice Location Address |
|---|---|
| James Douglas Evansen, 500 S Oakwood Rd Ste 10, Oshkosh, WI 54904-7944 Ph: (920) 236-1868 | James Douglas Evansen, 500 S Oakwood Rd Ste 10, Oshkosh, WI 54904-7944 Ph: (920) 236-1868 |
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