| Mark Probasco, DPT | |
|
727 W Johnson St, Fond Du Lac, WI 54935-2015 | |
| (920) 581-0111 | |
| Not Available |
| Full Name | Mark Probasco |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 727 W Johnson St, Fond Du Lac, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356709190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 15209 (Wisconsin) | Primary |
| Provider Name | Marshfield Clinic Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
| Provider Name | Beaver Dam Community Hospitals Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1972188555 PECOS PAC ID: 2567370539 Enrollment ID: O20040210000666 |
| Provider Name | Memorial Hospital Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1346239373 PECOS PAC ID: 2365433224 Enrollment ID: O20040519001426 |
| Provider Name | Flambeau Hospital, Inc. |
|---|---|
| Provider Type | Part A Provider - Critical Access Hospital |
| Provider Identifiers | NPI Number: 1700963048 PECOS PAC ID: 9032029871 Enrollment ID: O20070828000478 |
| Provider Name | Memorial Hospital Inc |
|---|---|
| Provider Type | Part A Provider - Critical Access Hospital |
| Provider Identifiers | NPI Number: 1346239373 PECOS PAC ID: 2365433224 Enrollment ID: O20110526000807 |
| Provider Name | Mchs Hospitals Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
| Provider Name | Lakeview Medical Center Inc Of Rice Lake |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1093201832 PECOS PAC ID: 6103737820 Enrollment ID: O20180817001484 |
| Provider Name | Mchs Hospitals Inc |
|---|---|
| Provider Type | Part A Provider - Critical Access Hospital |
| Provider Identifiers | NPI Number: 1952890873 PECOS PAC ID: 5698071173 Enrollment ID: O20180904002962 |
| Provider Name | Flambeau Hospital, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1194317966 PECOS PAC ID: 9032029871 Enrollment ID: O20210409000059 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Probasco, DPT 2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211 Ph: (866) 370-8206 | Mark Probasco, DPT 727 W Johnson St, Fond Du Lac, WI 54935-2015 Ph: (920) 581-0111 |
Karene Marie Boos, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 115 E Arndt St, Fond Du Lac, WI 54935 Phone: 920-923-7054 | |
Megan Filbert, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 355 N Peters Ave, Fond Du Lac, WI 54935 Phone: 920-929-9712 | |
Marcus A Werner, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 355 N Peters Ave Ste 3a, Fond Du Lac, WI 54935 Phone: 920-560-1147 Fax: 920-560-1197 | |
Andrew J Stickel, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-5391 | |
Karie Garfoot, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: N7658 County Road Wh, Fond Du Lac, WI 54935 Phone: 920-907-1323 Fax: 920-907-1378 | |
Katherine A Krantz, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 421 Camelot Dr, Fond Du Lac, WI 54935 Phone: 920-926-8065 |