Good Shepherd Rehabilitation Agency is a medicare enrolled "Occupational Therapist" provider in Seymour, Wisconsin. Their current practice location is
958 Foote Street, Seymour, Wisconsin. You can reach out to their office (for appointments etc.) via phone at
(920) 833-7796.
Good Shepherd Rehabilitation Agency is licensed to practice in Wisconsin (license number 2659) and it also participates in the medicare program. Good Shepherd Rehabilitation Agency
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1114995164.
Healthcare Provider's Profile
Full Name | Good Shepherd Rehabilitation Agency |
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Type | Facility |
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Speciality | Occupational Therapist |
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Location | 958 Foote Street, Seymour, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1114995164
- Provider Enumeration Date: 03/08/2006
- Last Update Date: 01/12/2012
Medicare PECOS Information:
- PECOS PAC ID: 7810162823
- Enrollment ID: O20111202000095
Medical Identifiers
Medical identifiers for Good Shepherd Rehabilitation Agency such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114995164 | NPI | - | NPPES |
41814400 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 2659 (Wisconsin) | Secondary |
225X00000X | Occupational Therapist | 2659 (Wisconsin) | Primary |
235Z00000X | Speech-language Pathologist | 2659 (Wisconsin) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Good Shepherd Rehabilitation Agency is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Good Shepherd Rehabilitation Agency 958 Foote Street, Seymour, WI 54165 Ph: (920) 833-7796 | Good Shepherd Rehabilitation Agency 958 Foote Street, Seymour, WI 54165 Ph: (920) 833-7796 |
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