Ms Mary Ellen Weidner-ruediger, OTR is a
Occupational Therapist based in Redgranite, Wisconsin. Ms Mary Ellen Weidner-ruediger is licensed to practice in Wisconsin (license number 1547-026) and her current practice location is
W5004 Beechnut Avenue, Redgranite, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 470-8442.
NPI number for Ms Mary Ellen Weidner-ruediger is 1851573596 and her current mailing address is W5004 Beechnut Avenue, Redgranite, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1851573596.
Healthcare Provider's Profile
Full Name | Ms Mary Ellen Weidner-ruediger |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | W5004 Beechnut Avenue, Redgranite, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1851573596
- Provider Enumeration Date: 12/05/2007
- Last Update Date: 12/10/2012
Medical Identifiers
Medical identifiers for Ms Mary Ellen Weidner-ruediger such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851573596 | NPI | - | NPPES |
40577400 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 1547-026 (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. Ms Mary Ellen Weidner-ruediger 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 |
Ms Mary Ellen Weidner-ruediger, OTR W5004 Beechnut Avenue, Redgranite, WI 54970-6904 Ph: (920) 470-8442 | Ms Mary Ellen Weidner-ruediger, OTR W5004 Beechnut Avenue, Redgranite, WI 54970-6904 Ph: (920) 470-8442 |
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