Eric Everson, | |
1700 W Paradise Dr, West Bend, WI 53095-9795 | |
(262) 677-7400 | |
Not Available |
Full Name | Eric Everson |
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Gender | Male |
Speciality | Occupational Therapist |
Location | 1700 W Paradise Dr, West Bend, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376087247 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 5879 (Wisconsin) | Primary |
Provider Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
Mailing Address | Practice Location Address |
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Eric Everson, 1700 W Paradise Dr, West Bend, WI 53095-9795 Ph: (262) 677-7400 | Eric Everson, 1700 W Paradise Dr, West Bend, WI 53095-9795 Ph: (262) 677-7400 |
Mrs. Aimee Hodorowski, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 5595 County Road Z, West Bend, WI 53095 Phone: 262-306-2100 | |
Mary Ognenoff, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3200 Pleasant Valley Rd, West Bend, WI 53095 Phone: 262-677-6805 Fax: 262-677-6801 | |
Miranda Gazza, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 531 E Washington St, West Bend, WI 53095 Phone: 262-335-4500 | |
Ellie Jean Mcmeeken, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1700 W Paradise Dr, West Bend, WI 53095 Phone: 262-334-3451 | |
Emily Mccabe, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2130 Continental Dr, West Bend, WI 53095 Phone: 877-407-3422 Fax: 877-407-4329 | |
Regina Zehnder, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2130 Continental Dr, West Bend, WI 53095 Phone: 877-407-3422 Fax: 877-407-4329 | |
Lisa Lipski, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5595 County Road Z, West Bend, WI 53095 Phone: 262-306-2100 |