Tyese Kazee, | |
1061 Summit Ave, Oconomowoc, WI 53066-4457 | |
(262) 569-2222 | |
Not Available |
Full Name | Tyese Kazee |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 1061 Summit Ave, Oconomowoc, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821873217 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 8383-26 (Wisconsin) | Primary |
Provider Name | Aegis Group Practice Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1275073363 PECOS PAC ID: 5193036432 Enrollment ID: O20170614002978 |
Mailing Address | Practice Location Address |
---|---|
Tyese Kazee, 7724 W Ruby Ave, Milwaukee, WI 53218-5324 Ph: () - | Tyese Kazee, 1061 Summit Ave, Oconomowoc, WI 53066-4457 Ph: (262) 569-2222 |
Alisha F Mell, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1185 Corporate Center Dr, Suite 155, Oconomowoc, WI 53066 Phone: 262-567-5385 | |
Kimberly L. Cridelich, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1290 N Summit Ave, Suite 102, Oconomowoc, WI 53066 Phone: 262-468-3480 Fax: 262-468-3481 | |
Miss Elizabeth Widicus, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2195 N Summit Village Way, Oconomowoc, WI 53066 Phone: 262-560-2426 | |
Alyson Wilson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: N6497 Elm Dr, Oconomowoc, WI 53066 Phone: 920-285-1857 | |
Mrs. Karrie Lynn Erdman, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 35317 Genesee Lake Rd, Oconomowoc, WI 53066 Phone: 262-646-3413 Fax: 262-646-3413 | |
Kristin Clevenstine, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2195 N Summit Village Way, Oconomowoc, WI 53066 Phone: 262-560-2400 | |
Allyson Waskosky, MSOT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2195 N Summit Village Way, Oconomowoc, WI 53066 Phone: 262-567-4662 Fax: 414-371-7598 |