Sarah A Ezerins, OT | |
2835 N Grandview Blvd Ste 100, Pewaukee, WI 53072-5546 | |
(262) 574-1100 | |
(262) 574-5193 |
Full Name | Sarah A Ezerins |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 2835 N Grandview Blvd Ste 100, Pewaukee, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841545084 | NPI | - | NPPES |
100023991 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (Wisconsin) | Secondary |
225X00000X | Occupational Therapist | 5214 (Wisconsin) | Primary |
Provider Name | Orthopaedic Associates Of Wisconsin Sc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1689656951 PECOS PAC ID: 1052200953 Enrollment ID: O20040310001280 |
Mailing Address | Practice Location Address |
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Sarah A Ezerins, OT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Sarah A Ezerins, OT 2835 N Grandview Blvd Ste 100, Pewaukee, WI 53072-5546 Ph: (262) 574-1100 |
Mrs. Joan Elizabeth Millane-herrera, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: W283n2122 Beach Rd, Pewaukee, WI 53072 Phone: 262-370-2292 | |
Tonia Marie Brandt, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 321 Riverside Dr, Pewaukee, WI 53072 Phone: 262-691-2300 | |
Mrs. Paige Alexis Goodwin, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: N15w28300 Golf Rd, Pewaukee, WI 53072 Phone: 262-303-5055 | |
Julie I Newman, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: W237n2920 Woodgate Rd, Pewaukee, WI 53072 Phone: 608-515-3986 Fax: 262-781-3080 | |
Kaitlyn Irene Payton, MSOT, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2835 N Grandview Blvd Ste 100, Pewaukee, WI 53072 Phone: 262-574-1100 Fax: 262-574-5193 | |
Mrs. Mary Elizabeth Morris, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: N22w27847 Edgewater Dr, Pewaukee, WI 53072 Phone: 262-264-0080 Fax: 262-264-0081 | |
Mrs. Heather Michelle Murnane, O.T. Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: N15w28300 Golf Rd, Pewaukee, WI 53072 Phone: 262-303-5055 Fax: 262-303-5057 |