Jerome Gerard Charles (NPI# 1225057912, PAC ID# 8628088549) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1225057912 |
| PAC ID by PECOS | 8628088549 |
| Professional Enrollment ID | I20060421000320 |
| Full Name | Jerome Gerard Charles |
| Address |
17187 Twin Pines Rd Lakewood WI 54138-9300 |
| Gender | M |
| Credential | PT |
| Graduation Year | 1984 |
| Primary Specialty | PHYSICAL THERAPY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 114 E Green Tree Rd, Clintonville, WI 54929-1182 | 7158233336 | ORTHOPEDIC AND SPINE THERAPY OF CLINTONVILLE, SC |
| 17187 Twin Pines Rd, Lakewood, WI 54138-9300 | ||
| 315 Burton Rd, Suite 107, New London, WI 54961-1176 | 9209823670 | ORTHOPEDIC AND SPINE THERAPY OF NEW LONDON SC |
| 205 W Green Bay St, Shawano, WI 54166-2333 | 7155265433 | ORTHOPEDIC AND SPINE THERAPY OF CLINTONVILLE, SC |
| Street Address |
17187 TWIN PINES RD |
| City | LAKEWOOD |
| State | WI |
| Zip | 54138-9300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam R Habeck | Chiropractic | 15267 State Hwy 32, Lakewood, WI 54138-9302 | |
| Peggy S Christianson | Nurse Practitioner | Oconto Hospital and Medical Center Inc | 15481 Commercial Rd, Lakewood, WI 54138-9677 |
| Susan L Schleicher | Nurse Practitioner | Northern Health Centers, Inc. | 15397 State Hwy 32, Lakewood, WI 54138-9702 |
| City | LAKEWOOD |
| Zip Code | 54138 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | LAKEWOOD + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Jerome Gerard Charles.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.