Dr Kylie Monet Wagner, OT | |
17024 Morgan Ave, Gretna, NE 68028-3837 | |
(402) 714-3575 | |
Not Available |
Full Name | Dr Kylie Monet Wagner |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 17024 Morgan Ave, Gretna, Nebraska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1740054055 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 2826 (Nebraska) | Primary |
Provider Name | Lincoln Lymphedema And Occupational Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1215580048 PECOS PAC ID: 8426488222 Enrollment ID: O20200418000581 |
Mailing Address | Practice Location Address |
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Dr Kylie Monet Wagner, OT 1421 N 185th St, Elkhorn, NE 68022-3835 Ph: () - | Dr Kylie Monet Wagner, OT 17024 Morgan Ave, Gretna, NE 68028-3837 Ph: (402) 714-3575 |
Kaitlann King, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 820 Village Sq, Gretna, NE 68028 Phone: 402-932-0747 | |
Tammy Jean Consbruck, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 S Highway 6, Gretna, NE 68028 Phone: 402-332-3446 | |
Caroline Kotera, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 913 Village Sq, Gretna, NE 68028 Phone: 402-932-0747 Fax: 402-991-5685 | |
Shannon Mae Baity, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 S Highway 6, Gretna, NE 68028 Phone: 402-332-3446 | |
Madeline Mccauley Myers, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 913 Village Sq, Gretna, NE 68028 Phone: 402-932-0747 | |
Mrs. Jennifer Ann Frees, OTR/L, CLT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 17024 Morgan Ave, Gretna, NE 68028 Phone: 402-714-3575 | |
Ms. Maya Douchey, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 10323 S 208th Ave, Gretna, NE 68028 Phone: 402-709-0847 |