| Jamie Wickershiem, PT | |
|
17500 W Bluemound Rd, Ste B, Brookfield, WI 53045-2909 | |
| (262) 901-2800 | |
| (262) 784-2914 |
| Full Name | Jamie Wickershiem |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 26 Years |
| Location | 17500 W Bluemound Rd, Brookfield, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033123047 | NPI | - | NPPES |
| 40327600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 6311 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Athletic And Therapeutic Institute Of Milwaukee, Llc | 2062469190 | 42 |
| Provider Name | Athletic & Therapeutic Institute Of Milwaukee, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1801907464 PECOS PAC ID: 2062469190 Enrollment ID: O20140616000469 |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie Wickershiem, PT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (630) 296-2222 | Jamie Wickershiem, PT 17500 W Bluemound Rd, Ste B, Brookfield, WI 53045-2909 Ph: (262) 901-2800 |
Luz Daniela Larraga Martinez, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3360 Gateway Rd, Brookfield, WI 53045 Phone: 262-923-7101 | |
Kristin M Gehringer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17280 W North Ave, #104, Brookfield, WI 53045 Phone: 262-780-0707 Fax: 262-780-0717 | |
Mackenzi Bowman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3360 Gateway Rd, Brookfield, WI 53045 Phone: 262-923-7101 | |
Mrs. Shelley Sue Brenholt, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 17280 W North Ave, # 104, Brookfield, WI 53045 Phone: 262-780-0707 Fax: 262-780-0717 | |
Christina Inez Rose Hochla, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 195 Discovery Dr, Brookfield, WI 53045 Phone: 262-513-7500 | |
Mrs. Marcy R Heuer, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19525 W North Avenue, Franciscan Woods, Brookfield, WI 53045 Phone: 262-785-1114 Fax: 262-780-3805 |