Amber Kieck, OTR | |
2424 S 90th St, West Allis, WI 53227-2455 | |
(414) 321-2255 | |
(414) 321-2091 |
Full Name | Amber Kieck |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 2424 S 90th St, West Allis, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780128124 | NPI | - | NPPES |
4736-26 | Other | WI | OTR-L |
100247870 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XP0019X | Occupational Therapist - Physical Rehabilitation | 4736-26 (Wisconsin) | Secondary |
225X00000X | Occupational Therapist | 4736 (Wisconsin) | Primary |
Provider Name | Aurora Medical Group, Inc. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Provider Name | Lakeshore Medical Clinic Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
Provider Name | Aurora Advanced Healthcare Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
Mailing Address | Practice Location Address |
---|---|
Amber Kieck, OTR Po Box 735044, Chicago, IL 60673-5044 Ph: () - | Amber Kieck, OTR 2424 S 90th St, West Allis, WI 53227-2455 Ph: (414) 321-2255 |
Mrs. Krystyna Andrea Apollo, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8621 W Beloit Rd, West Allis, WI 53227 Phone: 414-607-4191 | |
Mrs. Pamela Jo Sluka, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3023 S. 84th St., West Allis, WI 53227 Phone: 414-607-4100 Fax: 414-327-1834 | |
Mrs. Teresa Marie Palmisano, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 9806 W Lincoln Ave, West Allis, WI 53227 Phone: 414-543-5330 | |
Jennifer Lee Mcfadyen, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8520 W Oklahoma Ave, West Allis, WI 53227 Phone: 414-607-4120 | |
Mrs. Michelle Kiefer, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 9806 W Lincoln Ave, West Allis, WI 53227 Phone: 414-543-5330 | |
Linda Jean Bolton, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10230 W Grant St, West Allis, WI 53227 Phone: 414-604-4000 | |
Megan Metzler, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-328-6647 |