Tessa Hermann, | |
3821 S Chicago Ave, South Milwaukee, WI 53172-3712 | |
(414) 762-7336 | |
Not Available |
Full Name | Tessa Hermann |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 3821 S Chicago Ave, South Milwaukee, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598987570 | NPI | - | NPPES |
41041600 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 4481-026 (Wisconsin) | Primary |
Provider Name | Yasam Health Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1134524549 PECOS PAC ID: 5496073314 Enrollment ID: O20150406000531 |
Mailing Address | Practice Location Address |
---|---|
Tessa Hermann, 425 E Menomonee St Apt 203, Milwaukee, WI 53202-6140 Ph: () - | Tessa Hermann, 3821 S Chicago Ave, South Milwaukee, WI 53172-3712 Ph: (414) 762-7336 |
Miss Shawna Penelope Vasquez, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1425 Mackinac Ave, Apt # 501, South Milwaukee, WI 53172 Phone: 262-215-3279 | |
Maria Martinez, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3821 S Chicago Ave, South Milwaukee, WI 53172 Phone: 414-762-7336 | |
Chirsitine Hinz, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3821 S Chicago Ave, South Milwaukee, WI 53172 Phone: 414-762-6379 | |
Gina Camillo, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3601 S Chicago Ave, South Milwaukee, WI 53172 Phone: 414-570-5477 | |
Matthew G Bruins, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3601 S. Chicago Avenue, South Milwaukee, WI 53172 Phone: 414-764-4100 Fax: 414-764-9631 | |
Emily Gerber, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3601 S Chicago Ave, South Milwaukee, WI 53172 Phone: 414-764-4100 |