| Scott Wade Oleniczak, | |
|
215 N Webster Ave, Green Bay, WI 54301-4813 | |
| (920) 431-5588 | |
| (920) 445-7090 |
| Full Name | Scott Wade Oleniczak |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 28 Years |
| Location | 215 N Webster Ave, Green Bay, 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 |
|---|---|---|---|
| 1740496132 | NPI | - | NPPES |
| 40814600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 3259-026 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oconto Hospital And Medical Center Inc | 2163461781 | 188 |
| Provider Name | Bellin Memorial Hospital Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1609838473 PECOS PAC ID: 8820900749 Enrollment ID: O20031121000089 |
| Provider Name | Oconto Hospital & Medical Center Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1356373302 PECOS PAC ID: 2163461781 Enrollment ID: O20050713000836 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Wade Oleniczak, 3446 Edinburgh Rd, Green Bay, WI 54311-7284 Ph: () - | Scott Wade Oleniczak, 215 N Webster Ave, Green Bay, WI 54301-4813 Ph: (920) 431-5588 |
Ms. Joanne Mary Wirtz, MS OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1275 S Robinson Ave, Green Bay, WI 54311 Phone: 920-737-3077 | |
Mrs. Ramona Dawn Schmidt, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1040 Pilgrim Way, Woodside Lutheran Home, Green Bay, WI 54304 Phone: 920-405-3522 Fax: 920-405-3522 | |
Jamie Lynn Mosupye, O.T. Occupational Therapist Medicare: Medicare Enrolled Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-7823 Fax: 920-433-3651 | |
Mrs. Beth Lee Slippy, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1555 Dousman St, Green Bay, WI 54303 Phone: 920-494-4525 | |
Mrs. Lynn Mary Jadin, O.T.R. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2801 S Webster Ave, Green Bay, WI 54301 Phone: 920-337-1122 Fax: 920-337-1126 | |
Patricia M Slempkes, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-7822 Fax: 920-433-3651 | |
Ms. Tracy Strebe, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2305 San Luis Pl, Green Bay, WI 54304 Phone: 920-494-5231 Fax: 920-494-2855 |