| Kali L Shepard, OTR | |
|
2817 New Pinery Rd, Portage, WI 53901-9240 | |
| (608) 745-6290 | |
| Not Available |
| Full Name | Kali L Shepard |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 14 Years |
| Location | 2817 New Pinery Rd, Portage, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508100942 | NPI | - | NPPES |
| 100027480 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 5263-26 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prairie Ridge Health Inc | 6800791484 | 58 |
| Provider Name | Prairie Ridge Health Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1154403657 PECOS PAC ID: 6800791484 Enrollment ID: O20040210000777 |
| Mailing Address | Practice Location Address |
|---|---|
| Kali L Shepard, OTR 1515 Park Ave, Columbus, WI 53925-1618 Ph: (920) 623-2200 | Kali L Shepard, OTR 2817 New Pinery Rd, Portage, WI 53901-9240 Ph: (608) 745-6290 |
Ruthanne Perkins, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 508 E Conant St, Portage, WI 53901 Phone: 608-742-9933 | |
Mrs. Tara Ann Tibbe, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2817 New Pinery Rd, Portage, WI 53901 Phone: 608-745-6290 | |
Kendra Lynn Lacrosse, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 555 Karla Ct, Portage, WI 53901 Phone: 608-745-1655 | |
Kayla Wolff, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2815 New Pinery Rd, Portage, WI 53901 Phone: 608-745-6290 | |
Jennifer J Krey, O.T.R. Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2805 Hunters Trl, Portage, WI 53901 Phone: 608-745-4347 | |
Claire Meixelsperger, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2815 New Pinery Rd, Portage, WI 53901 Phone: 608-742-4131 |