Kassandra R Kostock, MSOT | |
700 Geneva Pkwy N Ste A, Lake Geneva, WI 53147-4594 | |
(262) 249-3505 | |
Not Available |
Full Name | Kassandra R Kostock |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 700 Geneva Pkwy N Ste A, Lake Geneva, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073158937 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225X00000X | Occupational Therapist | 6675-26 (Wisconsin) | Primary |
Provider Name | Athletico Ltd |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20100913000433 |
Mailing Address | Practice Location Address |
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Kassandra R Kostock, MSOT 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: () - | Kassandra R Kostock, MSOT 700 Geneva Pkwy N Ste A, Lake Geneva, WI 53147-4594 Ph: (262) 249-3505 |
Megan Batz, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2080 Ridge Dr, Lake Geneva, WI 53147 Phone: 262-949-9970 | |
Ashley E. Boro, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 262-245-4990 Fax: 262-245-2248 | |
Kim M. Cuculi, O.T.R. Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 800 Geneva Pkwy N Ste 3, Lake Geneva, WI 53147 Phone: 262-248-9902 Fax: 262-248-9419 | |
Mrs. Laurie Ann Romanowski, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 211 S Curtis St, Lake Geneva, WI 53147 Phone: 262-248-3145 | |
Diane E Killen, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: N3219 County Road H, Lake Geneva, WI 53147 Phone: 262-815-8084 | |
Mrs. Emily Melissa Terry, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: Hwys. 50 And 67, N2950 State Rd. 67, Lake Geneva, WI 53147 Phone: 262-245-0535 |