Mai Der Vang, OTR is a
Occupational Therapist based in Kohler, Wisconsin. Mai Der Vang is licensed to practice in Wisconsin (license number 6374-26) and her current practice location is
225 Church St, Kohler, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 889-5209.
NPI number for Mai Der Vang is 1700351368 and her current mailing address is 5000 Memorial Drieve, Two Rivers, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700351368.
Healthcare Provider's Profile
| Full Name | Mai Der Vang |
|---|
| Gender | Female |
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| Speciality | Occupational Therapist |
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| Location | 225 Church St, Kohler, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1700351368
- Provider Enumeration Date: 10/10/2018
- Last Update Date: 10/10/2018
Medical Identifiers
Medical identifiers for Mai Der Vang such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700351368 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 6374-26 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mai Der Vang is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mai Der Vang, OTR
5000 Memorial Drieve,
Two Rivers, WI 54241
Ph: (920) 793-7579 | Mai Der Vang, OTR
225 Church St,
Kohler, WI 53044-1502
Ph: (920) 889-5209 |
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