Ross Daniel Mcdonell, MOT, OTR/L | |
510 1st St, Spooner, WI 54801-1241 | |
(715) 635-3466 | |
(715) 635-7498 |
Full Name | Ross Daniel Mcdonell |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 510 1st St, Spooner, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700275450 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 5260 (Wisconsin) | Secondary |
225X00000X | Occupational Therapist | 26-5260 (Wisconsin) | Primary |
Provider Name | Phyt Rehab Of Wisconsin Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1366965931 PECOS PAC ID: 5395122196 Enrollment ID: O20220517001830 |
Mailing Address | Practice Location Address |
---|---|
Ross Daniel Mcdonell, MOT, OTR/L 4210 Cedar Ave, Schofield, WI 54476-2733 Ph: () - | Ross Daniel Mcdonell, MOT, OTR/L 510 1st St, Spooner, WI 54801-1241 Ph: (715) 635-3466 |
Mrs. Jill Renee Butkus, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 819 Ash St, Spooner, WI 54801 Phone: 715-635-3466 | |
Ms. Corinne Clare Miller, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1280 Chandler Dr, Spooner, WI 54801 Phone: 715-939-1745 | |
Kati D Stumph, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1280 Chandler Drive, Spooner, WI 54801 Phone: 715-939-1745 | |
Jeanne Marie Prusak, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1280 Chandler Drive, Spooner, WI 54801 Phone: 715-635-2111 | |
Renita J Flood, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 819 Ash St, Spooner, WI 54801 Phone: 715-635-2111 Fax: 715-635-8674 |