| Jolene Nieman, DPT | |
|
237 E Main St, Twin Lakes, WI 53181-9681 | |
| (262) 877-4884 | |
| Not Available |
| Full Name | Jolene Nieman |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 14 Years |
| Location | 237 E Main St, Twin Lakes, 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 |
|---|---|---|---|
| 1801184205 | NPI | - | NPPES |
| IL6237009 | Other | IL | MEDICARE |
| IL6238009 | Other | IL | MEDICARE |
| IL6697015 | Other | IL | MEDICARE |
| P01193482 | Other | IL | RAIL ROAD MEDICARE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070-018451 (Illinois) | Secondary |
| 225100000X | Physical Therapist | 17133-24 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Athletico Ltd | 4789602681 | 2054 |
| Athletico Ltd | 4789602681 | 2054 |
| Provider Name | Athletico Ltd |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20120612000342 |
| Mailing Address | Practice Location Address |
|---|---|
| Jolene Nieman, DPT 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-1980 | Jolene Nieman, DPT 237 E Main St, Twin Lakes, WI 53181-9681 Ph: (262) 877-4884 |
Monica E Uselding, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 700 N Lake Ave, Twin Lakes, WI 53181 Phone: 262-877-2124 | |
Miss Mallory A. Kelly, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 700 N Lake Ave, Twin Lakes, WI 53181 Phone: 262-877-2124 | |
Ashley D. Fauth, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 237 E Main St, Twin Lakes, WI 53181 Phone: 262-877-4884 Fax: 262-877-4629 | |
Amanda J Warren, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 700 N Lake Ave, Twin Lakes, WI 53181 Phone: 262-877-2124 | |
Tina Jesse, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 N Lake Ave, Twin Lakes, WI 53181 Phone: 262-877-2124 | |
Emily M. Bartelt, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 700 N Lake Ave, Twin Lakes, WI 53181 Phone: 262-877-2124 | |
Samantha Beck, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 700 N Lake Ave, Twin Lakes, WI 53181 Phone: 262-877-2124 |