Tracy L Radke, OT | |
3402 Howland Ave, Suite 100, Weston, WI 54476-5633 | |
(715) 355-5701 | |
Not Available |
Full Name | Tracy L Radke |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 3402 Howland Ave, Weston, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659489458 | NPI | - | NPPES |
40832900 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 1340 (Wisconsin) | Primary |
Provider Name | Aspirus Medical Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1669595294 PECOS PAC ID: 1052223625 Enrollment ID: O20031103000267 |
Provider Name | Aspirus Wausau Hospital Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1922321140 PECOS PAC ID: 6406757442 Enrollment ID: O20040114000297 |
Provider Name | Aspirus Merrill Hospital & Clinics Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1124084678 PECOS PAC ID: 0143117556 Enrollment ID: O20040301001179 |
Mailing Address | Practice Location Address |
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Tracy L Radke, OT 3000 Westhill Dr, Suite 303, Wausau, WI 54401-3795 Ph: () - | Tracy L Radke, OT 3402 Howland Ave, Suite 100, Weston, WI 54476-5633 Ph: (715) 355-5701 |
Ms. Madison Baily Brummond, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 7805 Birch St, Weston, WI 54476 Phone: 715-298-3833 | |
Mrs. Melanie A Damask, OTA Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4605 Valdres Springs Court, Weston, WI 54476 Phone: 715-393-0419 | |
Sally K Powell, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3402 Howland Ave, Suite 100, Weston, WI 54476 Phone: 715-355-5701 | |
Mrs. Kathy Marie Parde, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6002 S Gordon St, Weston, WI 54476 Phone: 715-355-8338 | |
Andrew J Weizenicker, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3301 Cranberry Blvd, Weston, WI 54476 Phone: 715-393-3990 | |
Jennifer Stieber, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3402 Howland Ave # 100, Weston, WI 54476 Phone: 715-355-5701 | |
Ms. Carina Lea Hafner, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3301 Cranberry Blvd, Weston, WI 54476 Phone: 715-393-3990 Fax: 715-393-3902 |