Magnolia Mae Grenawalt, PTA is a
Physical Medicine & Rehabilitation physician based in New Glarus, Wisconsin. Magnolia Mae Grenawalt is licensed to practice in Wisconsin (license number 4002-19) and her current practice location is 600 2nd Ave, New Glarus, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(608) 527-4390.
NPI number for Magnolia Mae Grenawalt is 1003535071 and her current mailing address is 600 2nd Ave, New Glarus, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003535071.
Physician's Profile
| Full Name | Magnolia Mae Grenawalt |
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| Gender | Female |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 600 2nd Ave, New Glarus, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1003535071
- Provider Enumeration Date: 08/24/2022
- Last Update Date: 08/24/2022
Medical Identifiers
Medical identifiers for Magnolia Mae Grenawalt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003535071 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 4002-19 (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. Magnolia Mae Grenawalt 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 |
|---|
Magnolia Mae Grenawalt, PTA
600 2nd Ave,
New Glarus, WI 53574-9776
Ph: (608) 527-4390 | Magnolia Mae Grenawalt, PTA
600 2nd Ave,
New Glarus, WI 53574-9776
Ph: (608) 527-4390 |
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