Mrs Patricia M Van Den Kieboom, OTR in Glendale, WI

Mrs Patricia M Van Den Kieboom, OTR is a Occupational Therapist based in Glendale, Wisconsin. Mrs Patricia M Van Den Kieboom is licensed to practice in Wisconsin (license number 3263-026) and her current practice location is 6700 N. Port Washington Rd., C/o St. Francis Children's Center, Glendale, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (414) 351-8850.

NPI number for Mrs Patricia M Van Den Kieboom is 1417934308 and her current mailing address is 6700 N. Port Washington Rd., C/o St. Francis Children's Center, Glendale, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417934308.

Contact Information

	Mrs Patricia M Van Den Kieboom, OTR
	6700 N. Port Washington Rd., C/o St. Francis Children's Center, Glendale, WI 53217
	(414) 351-8850
	(414) 351-8846

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Patricia M Van Den Kieboom
Gender	Female
Speciality	Occupational Therapist
Location	6700 N. Port Washington Rd., Glendale, Wisconsin
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1417934308
Provider Enumeration Date: 12/30/2005
Last Update Date: 10/21/2010

Medical Identifiers

Medical identifiers for Mrs Patricia M Van Den Kieboom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417934308	NPI	-	NPPES
40862700	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	3263-026 (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. Mrs Patricia M Van Den Kieboom 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
Mrs Patricia M Van Den Kieboom, OTR 6700 N. Port Washington Rd., C/o St. Francis Children's Center, Glendale, WI 53217 Ph: (414) 351-8850	Mrs Patricia M Van Den Kieboom, OTR 6700 N. Port Washington Rd., C/o St. Francis Children's Center, Glendale, WI 53217 Ph: (414) 351-8850

Reviews and Comments

Occupational Therapist in Glendale, WI

Emily Lauren Pavelsek, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1700 W Bender Rd, Glendale, WI 53209 Phone: 414-351-0505
Choua Linda Vang, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6700 N Port Washington Rd, Glendale, WI 53217 Phone: 414-351-8850
Rebecca Gehin, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1616 W Bender Rd, Glendale, WI 53209 Phone: 414-228-8700
Catherine Ann Nichols, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6263 N Green Bay Ave, Seven Oaks, Glendale, WI 53209 Phone: 414-351-0543
Mrs. Elizabeth Jane Shelton-zielke, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1300 W Silver Spring Ave, Glendale, WI 53209 Phone: 414-228-8120
Joanne Fetting, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1300 W Silver Spring Dr, Glendale, WI 53209 Phone: 414-228-8120 Fax: 414-247-8630
Eric Schmidt, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1616 W Bender Rd, Glendale, WI 53209 Phone: 414-228-8700

Mrs Patricia M Van Den Kieboom, OTR - Occupational Therapist in Glendale, WI