| Grace Ann Brinkoetter, OT | |
|
1836 South Ave, La Crosse, WI 54601-5429 | |
| (608) 782-7300 | |
| Not Available |
| Full Name | Grace Ann Brinkoetter |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1836 South Ave, La Crosse, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740026277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 8082 (Wisconsin) | Primary |
| Provider Name | Gundersen Clinic Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20031106000139 |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Ann Brinkoetter, OT 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | Grace Ann Brinkoetter, OT 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 |
Lauren A Hutchins, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2022 State St, La Crosse, WI 54601 Phone: 270-559-3025 | |
Ashley Rickaway, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1900 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Jenna Marie Timm, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Robert L Bobenmoyer, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Kathryn L. Bakke, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 West Ave S, La Crosse, WI 54601 Phone: 608-785-0940 | |
Kristin G Tancil, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 West Ave S, La Crosse, WI 54601 Phone: 608-791-9768 Fax: 608-791-7124 | |
Mrs. Janet M Manders, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1407 Saint Andrew St Ste 100, La Crosse, WI 54603 Phone: 800-439-7012 |