Great Lakes Healthcare, Inc. - Medicare Occupational Therapist in Germantown, WI

  1. Home
  2. Occupational Therapists
  3. WI
  4. Germantown
Great Lakes Healthcare, Inc. is a medicare enrolled "Occupational Therapist" provider in Germantown, Wisconsin. Their current practice location is W175n11117 Stonewood Dr Ste 100, Germantown, Wisconsin. You can reach out to their office (for appointments etc.) via phone at (208) 401-1369.

Great Lakes Healthcare, Inc. is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Great Lakes Healthcare, Inc. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1184282618.

Contact Information

Great Lakes Healthcare, Inc.
W175n11117 Stonewood Dr Ste 100,
Germantown, WI 53022-6505
(208) 401-1369
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameGreat Lakes Healthcare, Inc.
TypeFacility
SpecialityOccupational Therapist
LocationW175n11117 Stonewood Dr Ste 100, Germantown, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184282618
  • Provider Enumeration Date: 05/30/2019
  • Last Update Date: 03/17/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5395079719
  • Enrollment ID: O20190730000104

Medical Identifiers

Medical identifiers for Great Lakes Healthcare, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184282618NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Secondary
235Z00000XSpeech-language Pathologist (* (Not Available))Secondary
225X00000XOccupational Therapist (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Great Lakes Healthcare, Inc. acts as a billing entity for following providers:
Provider NameRichard A Polk
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1225233323
PECOS PAC ID: 5890896245
Enrollment ID: I20070730000115
Provider NameJill S Suess
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1134335169
PECOS PAC ID: 1153465034
Enrollment ID: I20100216000190
Provider NameKelsey N Torrison
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1669896569
PECOS PAC ID: 0648400747
Enrollment ID: I20140312001056
Provider NameLaura A Mundigler
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1770758658
PECOS PAC ID: 2769604479
Enrollment ID: I20141113001171
Provider NameKrista M Depies
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1295126290
PECOS PAC ID: 2466770854
Enrollment ID: I20150415000937
Provider NameBrittany R Skogg
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1326354713
PECOS PAC ID: 3577879451
Enrollment ID: I20150909000857
Provider NameTracey S Allison
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1427243609
PECOS PAC ID: 2668779604
Enrollment ID: I20160318000798
Provider NameAlyssa C Cormier
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1558604462
PECOS PAC ID: 3173817079
Enrollment ID: I20160815001909
Provider NameHeather R Orlando
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1851568364
PECOS PAC ID: 7911294046
Enrollment ID: I20160916002185
Provider NameChelsea A Friederichs
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1316478670
PECOS PAC ID: 8123304623
Enrollment ID: I20170418001496
Provider NameAnthony J Ettmayer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1457649352
PECOS PAC ID: 5597019323
Enrollment ID: I20181114002785
Provider NameKyle T Kirst
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1790248326
PECOS PAC ID: 8820427735
Enrollment ID: I20200327002306
Provider NameTaylor J Husom
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629693676
PECOS PAC ID: 6406275932
Enrollment ID: I20201001001776
Provider NameAshley R Miller
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1902405186
PECOS PAC ID: 3779995154
Enrollment ID: I20201208002087
Provider NameElizabeth I Burch
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1306154299
PECOS PAC ID: 4385057678
Enrollment ID: I20210105002261
Provider NameRuth A Lawrence
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1528555414
PECOS PAC ID: 4880009513
Enrollment ID: I20210210002583
Provider NameMorgan L Segrin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1912597014
PECOS PAC ID: 6901215805
Enrollment ID: I20210505001941
Provider NameJessica E Seyler
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1326371998
PECOS PAC ID: 0941600704
Enrollment ID: I20210616000078
Provider NameKaylee D Gransee
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1770135675
PECOS PAC ID: 1153758412
Enrollment ID: I20220201000530
Provider NameEric Rasmussen
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1669172540
PECOS PAC ID: 5698131860
Enrollment ID: I20230512000879

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. Great Lakes Healthcare, Inc. is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Great Lakes Healthcare, Inc.
W175n11117 Stonewood Dr Ste 100,
Germantown, WI 53022-6505

Ph: (262) 293-3951		Great Lakes Healthcare, Inc.
W175n11117 Stonewood Dr Ste 100,
Germantown, WI 53022-6505

Ph: (208) 401-1369

Reviews and Comments


Occupational Therapist in Germantown, WI

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: Accepting Medicare Assignments
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    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.