Thomas J Friedemann, D.C.
Individual provider Active NPI Chiropractor · Slinger, WI
NPI 1407927635 · NPPES record last updated Apr 22, 2020
Key facts
- NPI
- 1407927635
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3468-012 (WI)
- Practice address
- 128 Kettle Moraine Dr S
Slinger, WI 53086-9702 - Phone
- (262) 291-1551
- Fax
- (262) 297-1550
- NPI assigned
- Nov 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
128 Kettle Moraine Dr S
Slinger, WI 53086-9702
Phone (262) 297-1551
403 Kettle Moraine Dr S
Slinger, WI 53086-9696
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031204000846 | WI | Practitioner - Chiropractic | 7214832021 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3468-012 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Schaarschmidt Chiropractic Health Center LTD | Chiropractor | Past | Accepting new patients |
| River Shores Chiropractic SC | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3468-012 | WI | Yes |
Addresses
Primary practice location
128 Kettle Moraine Dr S
Slinger, WI 53086-9702
Mailing address
128 Kettle Moraine Dr S
Slinger, WI 53086-9702
Phone (262) 291-1551
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00229736 | Other | WI | RAILROAD MEDICARE |
| 38908300 | Medicaid | WI |
Other providers in Slinger, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.