| Tryn A Gasiorowski, | |
|
N112w17975 Mequon Rd, Germantown, WI 53022-2425 | |
| (262) 532-7600 | |
| Not Available |
| Full Name | Tryn A Gasiorowski |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | N112w17975 Mequon Rd, Germantown, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396489746 | NPI | - | NPPES |
| 100199244 | Medicaid | WI | |
| 467984 | Other | WI | NBCOT CERTIFICATION ID |
| 7227-26 | Other | WI | DSPS WISCONSIN STATE OT LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 7227-26 (Wisconsin) | Primary |
| Provider Name | Aurora Medical Group, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Provider Name | Lakeshore Medical Clinic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
| Provider Name | Aurora Health Care Metro, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1861447179 PECOS PAC ID: 8628986536 Enrollment ID: O20040114000498 |
| Provider Name | Aurora Advanced Healthcare, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
| Mailing Address | Practice Location Address |
|---|---|
| Tryn A Gasiorowski, Po Box 735044, Chicago, IL 60673-5044 Ph: () - | Tryn A Gasiorowski, N112w17975 Mequon Rd, Germantown, WI 53022-2425 Ph: (262) 532-7600 |
Mrs. Amy E Brinkman, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: W173n10915 Bernies Way, Germantown, WI 53022 Phone: 262-509-3300 | |
Mrs. Katherine Anne Gawrys, OCCUPATIONAL THERAPI Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: N109 W15235 Lyle Lane, Germantown, WI 53022 Phone: 262-255-4882 | |
Rose Bavlnka, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: W202n10223 Lannon Rd, Germantown, WI 53022 Phone: 262-366-9088 | |
Mrs. Erika Lynn Hubert, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: W173n10915 Bernies Way, Germantown, WI 53022 Phone: 262-509-3300 | |
Lisa Jane Vanderzanden, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: W175n11117 Stonewood Dr Ste 100, Germantown, WI 53022 Phone: 262-293-3951 | |
Krista Depies, Occupational Therapist Medicare: Medicare Enrolled Practice Location: W175n11117 Stonewood Dr, Germantown, WI 53022 Phone: 262-293-3951 | |
Ashley Russell, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: W175 N11117 Stonewood Drive, Suite 100, Germantown, WI 53022 Phone: 262-780-3813 |