| Jenna Lyn Jicinsky, OTR/L | |
|
103 S Gibson St, Medford, WI 54451-1622 | |
| (715) 748-8100 | |
| Not Available |
| Full Name | Jenna Lyn Jicinsky |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 103 S Gibson St, Medford, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679273577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 8230 (Wisconsin) | Primary |
| Provider Name | Aspirus Wausau Hospital Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1922321140 PECOS PAC ID: 6406757442 Enrollment ID: O20040114000297 |
| Provider Name | Aspirus Medford Hospital & Clinics Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1285703173 PECOS PAC ID: 5799688602 Enrollment ID: O20040129000007 |
| Provider Name | Aspirus Medford Hospital & Clinics Inc |
|---|---|
| Provider Type | Part A Provider - Critical Access Hospital |
| Provider Identifiers | NPI Number: 1619079597 PECOS PAC ID: 5799688602 Enrollment ID: O20071211000401 |
| Mailing Address | Practice Location Address |
|---|---|
| Jenna Lyn Jicinsky, OTR/L 103 S Gibson St, Medford, WI 54451-1622 Ph: () - | Jenna Lyn Jicinsky, OTR/L 103 S Gibson St, Medford, WI 54451-1622 Ph: (715) 748-8100 |
Kristen Koshalek, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 S Gibson St, Medford, WI 54451 Phone: 715-748-8112 | |
Caroline Radlinger, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: W5849 Pheasant Run Rd, Medford, WI 54451 Phone: 715-748-0320 | |
Samantha Lang, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 135 S Gibson St, Medford, WI 54451 Phone: 715-748-8100 | |
David Ralph Noeldner, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 S Gibson St, Medford, WI 54451 Phone: 715-748-8112 Fax: 715-748-8792 | |
Nancy Ann Bellendorf, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 S Gibson St, Medford, WI 54451 Phone: 715-748-8112 Fax: 715-748-8792 |