| Jaci L Blaszak, OT | |
|
3090 N 53rd St, Milwaukee, WI 53210-1617 | |
| (414) 449-4444 | |
| (414) 449-4448 |
| Full Name | Jaci L Blaszak |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 3090 N 53rd St, Milwaukee, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558666818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 2626-26 (Wisconsin) | Primary |
| Provider Name | Howard Young Medical Center Inc Of Woodruff Wisconsin |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1184673352 PECOS PAC ID: 4183519606 Enrollment ID: O20040419000970 |
| Provider Name | Aspirus Eagle River Hospital & Clinics, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1346204385 PECOS PAC ID: 1658361951 Enrollment ID: O20040518000233 |
| Provider Name | Lac Du Flambeau Band Of Lake Superior Chippewa Indians |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1134235047 PECOS PAC ID: 5496707242 Enrollment ID: O20050221000179 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaci L Blaszak, OT 3090 N 53rd St, Milwaukee, WI 53210-1617 Ph: (414) 449-4444 | Jaci L Blaszak, OT 3090 N 53rd St, Milwaukee, WI 53210-1617 Ph: (414) 449-4444 |
Melissa Brook, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2115 E Woodstock Pl, Milwaukee, WI 53202 Phone: 414-271-1020 | |
John Travis Krayenhagen, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1635 N Water St Apt 312, Milwaukee, WI 53202 Phone: 563-650-2889 | |
Jill M. Kellan, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 250 E Wisconsin Ave Fl 18, Milwaukee, WI 53202 Phone: 877-407-3422 Fax: 877-407-4329 | |
Laura Hendricks, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4528 S Adams Ave, Milwaukee, WI 53207 Phone: 626-241-7070 | |
Nancy Joy Stillman, O.T.R. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2449 E Bradford Ave, Milwaukee, WI 53211 Phone: 414-963-8476 | |
Ka Yang, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4530 N 74th St, Milwaukee, WI 53218 Phone: 414-897-4169 | |
Mrs. Madelyn Joy Bates, MOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5538 W Auer Ave, Milwaukee, WI 53216 Phone: 305-308-9571 |