James L Merrick, OT | |
113 4th Avenue, Shell Lake, WI 54871 | |
(715) 468-7833 | |
(715) 468-7839 |
Full Name | James L Merrick |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 113 4th Avenue, Shell Lake, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285937151 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 4048-26 (Wisconsin) | Primary |
Provider Name | Marshfield Clinic Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
Provider Name | Ohnstad Therapy Services Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1265789127 PECOS PAC ID: 1557512316 Enrollment ID: O20121105000246 |
Provider Name | Lakeview Medical Center Inc Of Rice Lake |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1093201832 PECOS PAC ID: 6103737820 Enrollment ID: O20180817001484 |
Mailing Address | Practice Location Address |
---|---|
James L Merrick, OT 113 4th Avenue, Shell Lake, WI 54871 Ph: (715) 468-7833 | James L Merrick, OT 113 4th Avenue, Shell Lake, WI 54871 Ph: (715) 468-7833 |
Bailey Paige Koshatka, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 113 4th Avenue, Shell Lake, WI 54871 Phone: 715-468-7833 Fax: 715-468-7839 |