Jennifer L Maciolek, PT | |
N112w17975 Mequon Rd, Germantown, WI 53022-2425 | |
(262) 532-7600 | |
Not Available |
Full Name | Jennifer L Maciolek |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | N112w17975 Mequon Rd, Germantown, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740314699 | NPI | - | NPPES |
40382500 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 4159 (Wisconsin) | Primary |
Provider Name | Aurora Advanced Healthcare Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
Mailing Address | Practice Location Address |
---|---|
Jennifer L Maciolek, PT 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (414) 389-2131 | Jennifer L Maciolek, PT N112w17975 Mequon Rd, Germantown, WI 53022-2425 Ph: (262) 532-7600 |
Troy A Hurst, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: N112w17975 Mequon Rd, Germantown, WI 53022 Phone: 262-532-7600 | |
Rebecca Schwer, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: N112w17975 Mequon Rd, Germantown, WI 53022 Phone: 262-532-7680 | |
Brandon Goesch, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: W173n10915 Bernies Way, Germantown, WI 53022 Phone: 262-509-3300 | |
Kira L Mcdonald, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: N112w17975 Mequon Rd, Germantown, WI 53022 Phone: 262-532-7600 | |
Preceptor Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: W175n11117 Stonewood Dr Ste 100, Germantown, WI 53022 Phone: 208-401-1369 | |
Presbyterian Homes And Services Rehabilitation Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: N112w17500 Mequon Rd, Germantown, WI 53022 Phone: 651-631-6570 | |
Gregory L Rasmussen, PT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: N112w17975 Mequon Rd, Germantown, WI 53022 Phone: 262-532-7600 |