| Amy M Thibodeaux, OTR | |
|
1160 Kepler Dr, Green Bay, WI 54311-8321 | |
| (920) 288-5500 | |
| (920) 288-5510 |
| Full Name | Amy M Thibodeaux |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1160 Kepler Dr, Green Bay, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285003731 | NPI | - | NPPES |
| 40789200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 2801-26 (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 | Aurora Health Care North Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1477508687 PECOS PAC ID: 9436067402 Enrollment ID: O20040211000368 |
| Provider Name | Baycare Aurora Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1255387726 PECOS PAC ID: 0244130557 Enrollment ID: O20051012000579 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy M Thibodeaux, OTR Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Amy M Thibodeaux, OTR 1160 Kepler Dr, Green Bay, WI 54311-8321 Ph: (920) 288-5500 |
Ms. Joanne Mary Wirtz, MS OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1275 S Robinson Ave, Green Bay, WI 54311 Phone: 920-737-3077 | |
Mrs. Ramona Dawn Schmidt, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1040 Pilgrim Way, Woodside Lutheran Home, Green Bay, WI 54304 Phone: 920-405-3522 Fax: 920-405-3522 | |
Jamie Lynn Mosupye, O.T. Occupational Therapist Medicare: Medicare Enrolled Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-7823 Fax: 920-433-3651 | |
Mrs. Beth Lee Slippy, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1555 Dousman St, Green Bay, WI 54303 Phone: 920-494-4525 | |
Mrs. Lynn Mary Jadin, O.T.R. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2801 S Webster Ave, Green Bay, WI 54301 Phone: 920-337-1122 Fax: 920-337-1126 | |
Patricia M Slempkes, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-7822 Fax: 920-433-3651 | |
Ms. Tracy Strebe, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2305 San Luis Pl, Green Bay, WI 54304 Phone: 920-494-5231 Fax: 920-494-2855 |