| Rand Chubin, | |
|
729 Park St, Antigo, WI 54409-2745 | |
| (715) 623-2356 | |
| (715) 623-6653 |
| Full Name | Rand Chubin |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 10 Years |
| Location | 729 Park St, Antigo, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528433299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 5724-26 (Wisconsin) | Secondary |
| 225XG0600X | Occupational Therapist - Gerontology | 572426 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sundance Rehabilitation Llc | 7911815329 | 17 |
| Provider Name | Sundance Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1073912119 PECOS PAC ID: 7911815329 Enrollment ID: O20140917001161 |
| Provider Name | Phyt Rehab Of Wisconsin Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1366965931 PECOS PAC ID: 5395122196 Enrollment ID: O20220517001830 |
| Provider Name | Oasis Therapy Services Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1386381598 PECOS PAC ID: 8325427974 Enrollment ID: O20220706002370 |
| Mailing Address | Practice Location Address |
|---|---|
| Rand Chubin, W6593 E Midway Rd Apt 34, Appleton, WI 54915-4857 Ph: () - | Rand Chubin, 729 Park St, Antigo, WI 54409-2745 Ph: (715) 623-2356 |
Elizabeth Ann Friske, OTR,CHT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 112 E 5th Ave, Antigo, WI 54409 Phone: 715-623-9449 Fax: 715-623-9425 | |
Katelyn Williams-parilek, MS, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: N4249 Hwy 52, Antigo, WI 54409 Phone: 715-216-3553 | |
Mrs. Amy Michelle Zanayed, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 112 E 5th Ave, Antigo, WI 54409 Phone: 715-623-2331 | |
Mark G Buchman, MS, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 112 E 5th Ave, Antigo, WI 54409 Phone: 715-623-9449 Fax: 715-623-9425 | |
Mary R Brayton, MS, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 112 E 5th Ave, Antigo, WI 54409 Phone: 715-623-9469 | |
Michelle A Klingler, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 729 Park St, Antigo, WI 54409 Phone: 715-623-2356 |