Megan C Horn, OTR | |
402 First Street, Random Lake, WI 53075 | |
(920) 994-9700 | |
(920) 994-4606 |
Full Name | Megan C Horn |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 402 First Street, Random Lake, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487980074 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 4291-026 (Wisconsin) | Primary |
Provider Name | Great Lakes Healthcare Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1184282618 PECOS PAC ID: 5395079719 Enrollment ID: O20190730000104 |
Mailing Address | Practice Location Address |
---|---|
Megan C Horn, OTR Po Box 323, Random Lake, WI 53075-0323 Ph: (920) 994-9700 | Megan C Horn, OTR 402 First Street, Random Lake, WI 53075 Ph: (920) 994-9700 |
Badieh Karps, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: N546 Schroeter Dr, Random Lake, WI 53075 Phone: 920-207-3550 Fax: 920-994-4606 | |
Jill Shea Suess, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 402 First Street, Random Lake, WI 53075 Phone: 920-994-9700 Fax: 920-994-4606 | |
Mrs. Valerie Jean Stone, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 402 First Street, Random Lake, WI 53075 Phone: 262-343-0520 | |
Mrs. Barbara Junge Mueller, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: N546 Schroeter Dr, Random Lake, WI 53075 Phone: 920-207-3550 Fax: 920-994-8466 | |
Elizabeth Marie Theis, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 222 Christines Way, Random Lake, WI 53075 Phone: 920-889-5056 | |
Kathleen Mary Kohlbeck, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: N546 Schroeter Dr, Random Lake, WI 53075 Phone: 920-207-3550 Fax: 920-994-4606 |