Ellen Jane Mcdonald, | |
1915 N 34th St, Superior, WI 54880-5575 | |
(877) 407-3422 | |
(877) 407-4329 |
Full Name | Ellen Jane Mcdonald |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 1915 N 34th St, Superior, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528848363 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 4167 (Wisconsin) | Primary |
Provider Name | Fox Rehabilitation Services Wi Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1518483973 PECOS PAC ID: 1658647581 Enrollment ID: O20171020002309 |
Mailing Address | Practice Location Address |
---|---|
Ellen Jane Mcdonald, 7 Carnegie Plz, Cherry Hill, NJ 08003-1000 Ph: (877) 407-3422 | Ellen Jane Mcdonald, 1915 N 34th St, Superior, WI 54880-5575 Ph: (877) 407-3422 |
Allison N Kostreba, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 35 N 28th St, Superior, WI 54880 Phone: 763-219-5521 | |
Anastasia Pitzen, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1915 N 34th St, Superior, WI 54880 Phone: 715-399-3287 | |
Brenda Christine Baker, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3500 Tower Ave, Superior, WI 54880 Phone: 715-395-5454 | |
Lonni Marie Brickson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3500 Tower Ave, Superior, WI 54880 Phone: 715-395-5454 | |
Paula Bjoralt, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 39 N 25th St E, Superior, WI 54880 Phone: 763-689-5385 Fax: 763-689-5558 | |
Kelsey Rubatt, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1612 N 37th St, Superior, WI 54880 Phone: 715-718-2101 | |
Ms. Mary J Crockett, OTRL Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1800 New York Ave, Superior, WI 54880 Phone: 715-394-5591 |