| Mary Jane Keller, OTR CHT | |
|
8554 Hwy 51 N, Unit 617, Minocqua, WI 54548 | |
| (715) 358-1929 | |
| (715) 356-4031 |
| Full Name | Mary Jane Keller |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 8554 Hwy 51 N, Minocqua, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326129867 | NPI | - | NPPES |
| 40811700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 1752026 (Wisconsin) | Primary |
| Provider Name | Aspirus Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1669595294 PECOS PAC ID: 1052223625 Enrollment ID: O20031103000267 |
| Provider Name | Aspirus Rhinelander & Tomahawk Hospitals & Clinics Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1144991340 PECOS PAC ID: 9335059856 Enrollment ID: O20031126000706 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Jane Keller, OTR CHT Po Box 11, Excel Rehab And Spine Center Inc, Minocqua, WI 54548 Ph: (715) 358-1929 | Mary Jane Keller, OTR CHT 8554 Hwy 51 N, Unit 617, Minocqua, WI 54548 Ph: (715) 358-1929 |
Meredith Kathryn Davey, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 7495 Trailwood Dr, Minocqua, WI 54548 Phone: 616-292-0565 | |
Jennifer Prullage Theuerkauf, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9969 Old Highway 70, Minocqua, WI 54548 Phone: 715-356-6016 |