Ilse Wagenbach, is a
Occupational Therapist - Pediatrics based in Butler, Tennessee. Ilse Wagenbach is licensed to practice in Tennessee (license number ) and her current practice location is
13147 Highway 67 W, Butler, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(423) 609-0133.
NPI number for Ilse Wagenbach is 1740155522 and her current mailing address is 13147 Highway 67 W, Butler, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740155522.
Healthcare Provider's Profile
| Full Name | Ilse Wagenbach |
|---|
| Gender | Female |
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| Speciality | Occupational Therapist - Pediatrics |
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| Location | 13147 Highway 67 W, Butler, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1740155522
- Provider Enumeration Date: 10/09/2025
- Last Update Date: 10/09/2025
Medical Identifiers
Medical identifiers for Ilse Wagenbach such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740155522 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225XP0200X | Occupational Therapist - Pediatrics | (Tennessee) | Primary |
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. Ilse Wagenbach is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ilse Wagenbach,
13147 Highway 67 W,
Butler, TN 37640-7218
Ph: (423) 609-0133 | Ilse Wagenbach,
13147 Highway 67 W,
Butler, TN 37640-7218
Ph: (423) 609-0133 |
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