| Mary Beth Wick, OTR | |
|
12203 Corporate Pkwy, Mequon, WI 53092-3388 | |
| (262) 387-8200 | |
| (262) 387-8271 |
| Full Name | Mary Beth Wick |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 12203 Corporate Pkwy, Mequon, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396776696 | NPI | - | NPPES |
| P00477562 | Other | WI | RR MEDICARE |
| 40789400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 289 (Wisconsin) | Primary |
| Provider Name | Aurora Medical Group, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Provider Name | Aurora Advanced Healthcare Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Beth Wick, OTR 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 Ph: (414) 352-3100 | Mary Beth Wick, OTR 12203 Corporate Pkwy, Mequon, WI 53092-3388 Ph: (262) 387-8200 |
Ms. Patricia Mary Harkensee, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10013 N Concord Dr, Mequon, WI 53097 Phone: 262-242-6699 | |
Joseph Fantin, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11281 N Lake Shore Dr, Mequon, WI 53092 Phone: 262-402-8131 | |
Continence & Pelvic Wellness Clinic Sc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1516 W Mequon Rd, Suite 102, Mequon, WI 53092 Phone: 262-240-1202 Fax: 262-240-1205 | |
Mrs. Sherese D Hildenbrand, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1516 W Mequon Rd, Ste 102, Mequon, WI 53092 Phone: 262-240-1202 Fax: 262-240-1205 | |
Ms. Erica Krause, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1486 W Mequon Rd, Mequon, WI 53092 Phone: 262-241-8030 Fax: 262-241-8304 | |
Jennifer Nagy, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1486 W Mequon Rd, Mequon, WI 53092 Phone: 262-241-8030 | |
Mrs. Catherine Ann Stolz, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13111 N Port Washington Rd, Mequon, WI 53097 Phone: 262-243-7444 |