| Mr Keith C Fisher, PT, OCS, MTC | |
|
1449 Green Bay Rd, Sturgeon Bay, WI 54235-3846 | |
| (920) 746-7200 | |
| Not Available |
| Full Name | Mr Keith C Fisher |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 43 Years |
| Location | 1449 Green Bay Rd, Sturgeon Bay, 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 |
|---|---|---|---|
| 1124073929 | NPI | - | NPPES |
| 391-99-7089 | Other | WI | TRICARE |
| 40144000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2759-024 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| Provider Name | Aurora Medical Group, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Keith C Fisher, PT, OCS, MTC Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Mr Keith C Fisher, PT, OCS, MTC 1449 Green Bay Rd, Sturgeon Bay, WI 54235-3846 Ph: (920) 746-7200 |
Ryan Adams, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1300 Egg Harbor Rd Ste 152, Sturgeon Bay, WI 54235 Phone: 920-746-0410 | |
Mrs. Charity Geary, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1449 Green Bay Rd, Sturgeon Bay, WI 54235 Phone: 920-746-7200 | |
Mr. Neil A Masters, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1449 Green Bay Rd Ste 5, Sturgeon Bay, WI 54235 Phone: 920-746-7200 | |
Alex N Smithback, D-PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 311 N 3rd Ave, Sturgeon Bay, WI 54235 Phone: 920-743-0255 Fax: 920-743-6680 | |
Lori B. Dart, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1300 Egg Harbor Rd Ste 152, Sturgeon Bay, WI 54235 Phone: 920-746-0410 | |
Dr. Megan Angela Gorin, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1300 Egg Harbor Rd Ste 152, Sturgeon Bay, WI 54235 Phone: 920-746-0410 | |
Amber Van Pay, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1449 Green Bay Rd, Sturgeon Bay, WI 54235 Phone: 920-746-7200 |