Mr John L Elmendorf Iii, OTR/L in Sheboygan, WI

Mr John L Elmendorf Iii, OTR/L is a Occupational Therapist based in Sheboygan, Wisconsin. Mr John L Elmendorf Iii is licensed to practice in Wisconsin (license number 2810-026) and his current practice location is 1125 N 13th St, Sheboygan, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (920) 803-1617.

NPI number for Mr John L Elmendorf Iii is 1790966604 and his current mailing address is 1125 N 13th St, Sheboygan, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790966604.

Contact Information

	Mr John L Elmendorf Iii, OTR/L
	1125 N 13th St, Sheboygan, WI 53081-3281
	(920) 803-1617
	(920) 803-1622

Map and Direction

Healthcare Provider's Profile

Full Name	Mr John L Elmendorf Iii
Gender	Male
Speciality	Occupational Therapist
Location	1125 N 13th St, Sheboygan, Wisconsin
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1790966604
Provider Enumeration Date: 11/19/2007
Last Update Date: 10/10/2022

Medical Identifiers

Medical identifiers for Mr John L Elmendorf Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790966604	NPI	-	NPPES
41813000	Medicaid	WI
40794400	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	2810-026 (Wisconsin)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr John L Elmendorf Iii is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr John L Elmendorf Iii, OTR/L 1125 N 13th St, Sheboygan, WI 53081-3281 Ph: (920) 803-1617	Mr John L Elmendorf Iii, OTR/L 1125 N 13th St, Sheboygan, WI 53081-3281 Ph: (920) 803-1617

Reviews and Comments

Occupational Therapist in Sheboygan, WI

Emily Joann Lucht, M.S. OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3613 S 13th St, Sheboygan, WI 53081 Phone: 715-572-5893
Joshua R Luna, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2131 S Business Dr, Sheboygan, WI 53081 Phone: 920-803-1617 Fax: 920-803-1622
Sarah Mary Birenbaum, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3613 S 13th St, Sheboygan, WI 53081 Phone: 920-458-4040
Sydney Schouten, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3129 Michigan Ave, Sheboygan, WI 53081 Phone: 920-458-1155
Hailey Witthun, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1125 N 13th St, Sheboygan, WI 53081 Phone: 920-803-1617
Ashley L Coop, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2508 Cooper Ave, Sheboygan, WI 53083 Phone: 920-838-4595
Mrs. Ann M Hering, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1125 N 13th St, Sheboygan, WI 53081 Phone: 920-208-9648

Mr John L Elmendorf Iii, OTR/L - Occupational Therapist in Sheboygan, WI