Bethany Lyn Ellwanger, MS, OTR | |
2509 County Highway I, Hshs St Joseph's Spots, Chippewa Falls, WI 54729-2785 | |
(715) 726-3590 | |
(715) 717-7613 |
Full Name | Bethany Lyn Ellwanger |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 2509 County Highway I, Chippewa Falls, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952672701 | NPI | - | NPPES |
5141 | Other | WI | WISCONSIN LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 5141 (Wisconsin) | Primary |
Provider Name | Sacred Heart Hospital Of The Hospital Sisters-3rd Order Of St Francis |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1619355351 PECOS PAC ID: 8729072418 Enrollment ID: O20150814013380 |
Mailing Address | Practice Location Address |
---|---|
Bethany Lyn Ellwanger, MS, OTR 2661 County Highway I, Hshs St Joseph's Hospital Spots, Chippewa Falls, WI 54729-5407 Ph: (715) 726-3590 | Bethany Lyn Ellwanger, MS, OTR 2509 County Highway I, Hshs St Joseph's Spots, Chippewa Falls, WI 54729-2785 Ph: (715) 726-3590 |
Karen Schrage, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2661 County Highway I, Chippewa Falls, WI 54729 Phone: 714-726-3455 | |
Jennifer A Dykes, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7490 156th St, Chippewa Falls, WI 54729 Phone: 715-726-3447 Fax: 715-726-3649 | |
Jacob Ehlert, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 725 W Park Ave, Chippewa Falls, WI 54729 Phone: 715-720-2058 | |
Jeanne Daniel, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4033 123rd St, Chippewa Falls, WI 54729 Phone: 715-831-0106 | |
Jennifer R Williams, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2509 County Highway I, Chippewa Falls, WI 54729 Phone: 715-726-3447 Fax: 715-726-3649 | |
Stacie Bielefeldt, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4033 123rd St, Chippewa Falls, WI 54729 Phone: 715-831-0100 | |
Alissa Roemhild, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2661 County Highway I, Chippewa Falls, WI 54729 Phone: 715-717-7447 |