| Jennifer Nina Maves, OTR | |
|
2705 Enloe St, Hudson, WI 54016-8173 | |
| (715) 386-2128 | |
| Not Available |
| Full Name | Jennifer Nina Maves |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 2705 Enloe St, Hudson, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144386095 | NPI | - | NPPES |
| 98G89GE | Other | MN | BCBS MN |
| 6401859 | Other | MEDICA | |
| 641671046996 | Other | PREFERRED ONE | |
| 40837400 | Medicaid | WI | |
| 7847436 | Other | AETNA | |
| HP43827 | Other | HEALTH PARTNERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 3526 (Wisconsin) | Primary |
| Provider Name | Mercy Health System Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Nina Maves, OTR 180 S Plum St, Ellsworth, WI 54011-4137 Ph: (715) 497-3277 | Jennifer Nina Maves, OTR 2705 Enloe St, Hudson, WI 54016-8173 Ph: (715) 386-2128 |
Nicole Marie Chisholm, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2705 Enloe St, Hudson, WI 54016 Phone: 715-690-2600 Fax: 715-381-8131 | |
Caroline Kay Williamson, OTR L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2705 Enloe St, Hudson, WI 54016 Phone: 715-386-2128 | |
Jennifer Marie Cook, BSW, MA OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 742 Sterbenz Dr, St Croix Therapy Inc, Hudson, WI 54016 Phone: 715-386-2128 Fax: 715-386-6119 | |
Caroline Mccleary, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 742 Sterbenz Dr, Hudson, WI 54016 Phone: 715-386-2128 | |
Alecia Lyn Dadez, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 742 Sterbenz Dr, Hudson, WI 54016 Phone: 715-386-2128 | |
Malorie Morgan Richer, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2705 Enloe St, Hudson, WI 54016 Phone: 715-690-2600 | |
Heather May Simmel, MOTR/L, CLT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 405 Stageline Rd, Hudson, WI 54016 Phone: 715-531-6321 |