| Mrs Deborah Sue Cuper, DPT | |
|
417 3rd Ave., Clear Lake, WI 54005 | |
| (715) 263-4103 | |
| (866) 245-8064 |
| Full Name | Mrs Deborah Sue Cuper |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 19 Years |
| Location | 417 3rd Ave., Clear Lake, 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 |
|---|---|---|---|
| 1689855355 | NPI | - | NPPES |
| 1689855355 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 8047 (Minnesota) | Secondary |
| 225100000X | Physical Therapist | 11300-024 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tria Orthopaedic Center Llc | 3173570561 | 461 |
| Tria Orthopaedic Center Llc | 3173570561 | 461 |
| Provider Name | Group Health Plan Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Provider Name | Tria Orthopaedic Center Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1518273085 PECOS PAC ID: 3173570561 Enrollment ID: O20110310000999 |
| Provider Name | Novacare Outpatient Rehabilitation East, Inc. |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1558610519 PECOS PAC ID: 3678480290 Enrollment ID: O20121228000194 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Deborah Sue Cuper, DPT Po Box 3497, Sturtevant, WI 53177-0300 Ph: (888) 201-1040 | Mrs Deborah Sue Cuper, DPT 417 3rd Ave., Clear Lake, WI 54005 Ph: (715) 263-4103 |
Emily J Monson, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 417 3rd Ave, Clear Lake, WI 54005 Phone: 715-263-4103 Fax: 866-245-8064 | |
Kyle Anthony Larson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 417 3rd Avenue, Clear Lake, WI 54005 Phone: 715-263-4103 Fax: 715-263-4110 |