Gwendolyn Hermes, | |
199 Home Rd, Juneau, WI 53039-1401 | |
(920) 386-3539 | |
Not Available |
Full Name | Gwendolyn Hermes |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 199 Home Rd, Juneau, Wisconsin |
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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1487809182 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 4620-026 (Wisconsin) | Primary |
Provider Name | Achieve Solutions Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1346329869 PECOS PAC ID: 9739188244 Enrollment ID: O20070222000039 |
Provider Name | Healthpro Heritage Rehab & Fitness Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1245755487 PECOS PAC ID: 6507832573 Enrollment ID: O20170915001646 |
Mailing Address | Practice Location Address |
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Gwendolyn Hermes, 108 We Go Trl, Fox Lake, WI 53933-9620 Ph: (920) 928-6436 | Gwendolyn Hermes, 199 Home Rd, Juneau, WI 53039-1401 Ph: (920) 386-3539 |
Ms. Doreen Kay Eicher, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 199 Home Rd., Juneau, WI 53039 Phone: 920-386-3548 Fax: 920-386-9721 | |
Ms. Mary J Wollenburg, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 199 Home Rd, Juneau, WI 53039 Phone: 920-386-3500 Fax: 920-386-3812 | |
Kathleen Stockhausen, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 199 Home Rd, Juneau, WI 53039 Phone: 920-386-3539 | |
Brigette Stockhausen, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 199 Home Rd, Juneau, WI 53039 Phone: 920-386-3539 | |
Hannah Boettcher, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 198 County Rd D F, Juneau, WI 53039 Phone: 877-386-3400 |