| Brian Bonk, | |
|
17700 W Capitol Dr, Brookfield, WI 53045-2006 | |
| (262) 781-3083 | |
| (262) 781-3080 |
| Full Name | Brian Bonk |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 17700 W Capitol Dr, Brookfield, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942848387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 6794 (Wisconsin) | Primary |
| 225X00000X | Occupational Therapist | 056.011572 (Illinois) | Secondary |
| Provider Name | Fox Rehabilitation Services Il Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1114443462 PECOS PAC ID: 8224379763 Enrollment ID: O20190409003124 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Bonk, 17700 W Capitol Dr, Brookfield, WI 53045-2006 Ph: (262) 781-3083 | Brian Bonk, 17700 W Capitol Dr, Brookfield, WI 53045-2006 Ph: (262) 781-3083 |
Mrs. Kay Lynne Luck, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 17280 W North Ave, #104, Brookfield, WI 53045 Phone: 262-780-0707 Fax: 262-780-0717 | |
Mary Teresa Ortell, OCCUPATIONAL THERAPI Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 18740 W Bluemound Rd, Brookfield, WI 53045 Phone: 262-641-8728 Fax: 262-797-8306 | |
Paige Nicole Splittgerber, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3360 Gateway Rd, Brookfield, WI 53045 Phone: 262-923-7101 | |
Mrs. Kimberly Ann Beckmann, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 17280 W North Ave, # 104, Brookfield, WI 53045 Phone: 262-780-0707 Fax: 262-780-0717 | |
Cindy Van Valin, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 17280 W North Ave, #104, Brookfield, WI 53045 Phone: 262-780-0707 | |
Kenneth Siebels, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 19395 W Capitol Dr Ste 200, Brookfield, WI 53045 Phone: 262-923-7101 | |
Carol Marie Wingenter, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3285 Sunnyview Ln, Brookfield, WI 53005 Phone: 262-783-9863 |