Mr Shane D Bauer, PT - Medicare Physical Therapist in Fond Du Lac, WI

Mr Shane D Bauer, PT is a medicare enrolled "Physical Therapist" provider in Fond Du Lac, Wisconsin. He graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Advanced Physical Therapy And Sports Medicine Sc and his current practice location is 355 N Peters Ave, Fond Du Lac, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 929-9712.

Mr Shane D Bauer is licensed to practice in Wisconsin (license number 5173-024) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1144200676.

Contact Information

Mr Shane D Bauer, PT
355 N Peters Ave,
Fond Du Lac, WI 54935-8258
(920) 929-9712
(920) 929-9715



Healthcare Provider's Profile

Full NameMr Shane D Bauer
GenderMale
SpecialityPhysical Therapy
Experience29 Years
Location355 N Peters Ave, Fond Du Lac, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Shane D Bauer graduated from medical school in 1995
  NPI Data:
  • NPI Number: 1144200676
  • Provider Enumeration Date: 01/19/2006
  • Last Update Date: 09/09/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3173605730
  • Enrollment ID: I20080205000143

Medical Identifiers

Medical identifiers for Mr Shane D Bauer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144200676NPI-NPPES
40340300MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 5173-024 (Wisconsin)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Advanced Physical Therapy And Sports Medicine Sc236543290357

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Shane D Bauer allows following entities to bill medicare on his behalf.
Provider NameAdvanced Physical Therapy & Sports Medicine Sc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1407857790
PECOS PAC ID: 2365432903
Enrollment ID: O20040514001027

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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. Mr Shane D Bauer is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Shane D Bauer, PT
2105 E Enterprise Ave Ste 113,
Appleton, WI 54913-7862

Ph: (920) 991-2561
Mr Shane D Bauer, PT
355 N Peters Ave,
Fond Du Lac, WI 54935-8258

Ph: (920) 929-9712

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Physical Therapist in Fond Du Lac, WI

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    
Associated Pediatric Therapists
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 500 N Park Ave, Fond Du Lac, WI 54935
Phone: 920-929-8858    Fax: 920-923-3038
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    

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