| Elizabeth Pederson, OT | |
|
1650 Tri Park Way, Suite A, Appleton, WI 54914-1652 | |
| (920) 830-6697 | |
| (920) 830-6707 |
| Full Name | Elizabeth Pederson |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1650 Tri Park Way, Appleton, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669622411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 103139 (Minnesota) | Secondary |
| 225X00000X | Occupational Therapist | 3622 (Wisconsin) | Primary |
| Provider Name | Aegis Group Practice Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1417340126 PECOS PAC ID: 5193036432 Enrollment ID: O20150612001586 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Pederson, OT 1650 Tri Park Way, Suite A, Appleton, WI 54914-1652 Ph: (920) 830-6697 | Elizabeth Pederson, OT 1650 Tri Park Way, Suite A, Appleton, WI 54914-1652 Ph: (920) 830-6697 |
Laura Hintz, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1650 Tri Park Way, Suite A, Appleton, WI 54914 Phone: 920-830-6697 Fax: 920-830-6707 | |
Lori J Schaetz, OTR, CLT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2600 S Heritage Woods Dr, Appleton, WI 54915 Phone: 920-545-6806 Fax: 920-225-7825 | |
Kara L Fitzgerald, MS,OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2600 S Heritage Woods Dr, Appleton, WI 54915 Phone: 920-225-7763 | |
Jenna Lynn Gengler, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1101 E South River St, Appleton, WI 54915 Phone: 920-997-8828 | |
Mrs. Angela Gehrt, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3303 W Twin Willow Ct, Appleton, WI 54914 Phone: 229-854-2220 | |
Melissa L Adelman, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1650 Tri Park Way, Suite A, Appleton, WI 54914 Phone: 920-830-6697 Fax: 920-830-6707 | |
Ms. Jan C Klemp, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1506 S Oneida St, Appleton, WI 54915 Phone: 920-738-2254 |