Richard J Deaver, PT is a
Physical Therapist based in Three Lakes, Wisconsin. Richard J Deaver is licensed to practice in Wisconsin (license number 963-024) and his current practice location is
7754 Braeger Rd, Three Lakes, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(715) 546-8026.
NPI number for Richard J Deaver is 1255508917 and his current mailing address is 7754 1 Braeger Rd, Three Lakes, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255508917.
Healthcare Provider's Profile
| Full Name | Richard J Deaver |
|---|
| Gender | Male |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 7754 Braeger Rd, Three Lakes, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1255508917
- Provider Enumeration Date: 05/13/2008
- Last Update Date: 05/13/2008
Medical Identifiers
Medical identifiers for Richard J Deaver such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1255508917 | NPI | - | NPPES |
| 40100700 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | 963-024 (Wisconsin) | Primary |
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. Richard J Deaver 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 |
Richard J Deaver, PT 7754 1 Braeger Rd, Three Lakes, WI 54562-9207 Ph: (715) 546-8026 | Richard J Deaver, PT 7754 Braeger Rd, Three Lakes, WI 54562-9207 Ph: (715) 546-8026 |
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