| Jennifer A Taber, OT | |
|
1630 Commanche Ave, Green Bay, WI 54313-5753 | |
| (920) 430-4750 | |
| Not Available |
| Full Name | Jennifer A Taber |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapy |
| Experience | 22 Years |
| Location | 1630 Commanche Ave, Green Bay, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437134012 | NPI | - | NPPES |
| 4173026 | Other | WI | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 4173 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Physical Therapy And Sports Medicine Sc | 2365432903 | 61 |
| Provider Name | Advanced Physical Therapy & Sports Medicine Sc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1407857790 PECOS PAC ID: 2365432903 Enrollment ID: O20040514001027 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer A Taber, OT 1630 Commanche Ave, Green Bay, WI 54313-5753 Ph: (920) 430-4750 | Jennifer A Taber, OT 1630 Commanche Ave, Green Bay, WI 54313-5753 Ph: (920) 430-4750 |
Ms. Joanne Mary Wirtz, MS OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1275 S Robinson Ave, Green Bay, WI 54311 Phone: 920-737-3077 | |
Mrs. Ramona Dawn Schmidt, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1040 Pilgrim Way, Woodside Lutheran Home, Green Bay, WI 54304 Phone: 920-405-3522 Fax: 920-405-3522 | |
Jamie Lynn Mosupye, O.T. Occupational Therapist Medicare: Medicare Enrolled Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-7823 Fax: 920-433-3651 | |
Mrs. Beth Lee Slippy, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1555 Dousman St, Green Bay, WI 54303 Phone: 920-494-4525 | |
Mrs. Lynn Mary Jadin, O.T.R. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2801 S Webster Ave, Green Bay, WI 54301 Phone: 920-337-1122 Fax: 920-337-1126 | |
Patricia M Slempkes, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-7822 Fax: 920-433-3651 | |
Ms. Tracy Strebe, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2305 San Luis Pl, Green Bay, WI 54304 Phone: 920-494-5231 Fax: 920-494-2855 |