Mrs Colleen Marie Mazza, PT is a
Physical Therapist based in New Holstein, Wisconsin. Mrs Colleen Marie Mazza is licensed to practice in Wisconsin (license number 3424-024) and her current practice location is
1610 Hoover St, New Holstein, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 898-5627.
NPI number for Mrs Colleen Marie Mazza is 1417161464 and her current mailing address is 2303 S 15th St, Sheboygan, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417161464.
Healthcare Provider's Profile
| Full Name | Mrs Colleen Marie Mazza |
|---|
| Gender | Female |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 1610 Hoover St, New Holstein, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417161464
- Provider Enumeration Date: 05/09/2007
- Last Update Date: 08/29/2007
Medical Identifiers
Medical identifiers for Mrs Colleen Marie Mazza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1417161464 | NPI | - | NPPES |
| 40139600 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | 3424-024 (Wisconsin) | Primary |
| 2251G0304X | Physical Therapist - Geriatrics | 3424-024 (Wisconsin) | Secondary |
| 2251X0800X | Physical Therapist - Orthopedic | 3424-024 (Wisconsin) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Colleen Marie Mazza is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mrs Colleen Marie Mazza, PT 2303 S 15th St, Sheboygan, WI 53081-6240 Ph: (920) 457-6580 | Mrs Colleen Marie Mazza, PT 1610 Hoover St, New Holstein, WI 53061-1636 Ph: (920) 898-5627 |
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