MEDICARE: BETA ONE HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1386380301
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BETA ONE HEALTH LLC

Provider Business Mailing Address
First Line	:	7200 WASHINGTON AVE STE 107
Second Line	:
City	:	MT PLEASANT
State	:	WI
Zip	:	53406-6516
Country	:	US
Telephone Number	:	262-622-6264
Fax Number	:	262-632-0379

Provider Business Practice Location Address
First Line	:	7200 WASHINGTON AVE STE 107
Second Line	:
City	:	MT PLEASANT
State	:	WI
Zip	:	53406-6516
Country	:	US
Telephone Number	:	262-622-6264
Fax Number	:	262-632-0379

Authorized Official
Title or Position	:	AUTHORIZED REPRESENTATIVE
Name	:	TOM CONSTANTIN TOUSIS
Credential	:
Telephone Number	:	262-622-6264

Provider Enumeration Date	:	05/11/2022
Last Update Date	:	05/12/2022

Similar Medicare Providers

1447271309 — BRANKO PRPA M.D.
Practice Location Address:

7200 WASHINGTON AVE STE 101
MT PLEASANT, WI
53406-6516

Practice Phone: 414-939-5447
Practice Fax: 262-583-1769

1457003329 — BETA DIAGNOSTIC LABS LLC
Practice Location Address:

7200 WASHINGTON AVE STE 104
MT PLEASANT, WI
53406-6516

Practice Phone: 262-583-0068
Practice Fax: 262-583-0079

1336879303 — DERMATOLOGY CONSULTANTS LLC
Practice Location Address:

7200 WASHINGTON AVE STE 103
MT PLEASANT, WI
53406-6516

Practice Phone: 262-989-0381
Practice Fax:

1356175913 — SANCTUS LIFE SCIENCES LLC
Practice Location Address:

7200 WASHINGTON AVE STE 109
MT PLEASANT, WI
53406-6516

Practice Phone: 262-417-6330
Practice Fax:

1982056768 — LUKE HARBERS PA-C
Practice Location Address:

7200 WASHINGTON AVE STE 101
MOUNT PLEASANT, WI
53406-6516

Practice Phone: 414-939-5447
Practice Fax: 262-583-1769

1215478763 — SPORTS PHYSICAL THERAPISTS OF RACINE LLC
Practice Location Address:

7200 WASHINGTON AVE , STE D103
MOUNT PLEASANT, WI
53406-6516

Practice Phone: 262-583-0790
Practice Fax: 262-583-0768

Directions to “BETA ONE HEALTH LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.