Country Kids Inc. is a
Clinic/center - Developmental Disabilities based in De Pere, Wisconsin. Country Kids Inc. is licensed to practice in * (Not Available) (license number ) and their current practice location is
1142 Orlando Dr, De Pere, Wisconsin. It can be reached at their office (for appointments etc.) via phone at
(920) 339-0700.
NPI number for Country Kids Inc. is 1497851265 and their current mailing address is 1142 Orlando Dr, De Pere, Wisconsin. Country Kids Inc.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1497851265.
Healthcare Provider's Profile
| Full Name | Country Kids Inc. |
|---|
| Type | Facility |
|---|
| Speciality | Clinic/center - Developmental Disabilities |
|---|
| Location | 1142 Orlando Dr, De Pere, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1497851265
- Provider Enumeration Date: 09/16/2006
- Last Update Date: 08/28/2008
Medical Identifiers
Medical identifiers for Country Kids Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497851265 | NPI | - | NPPES |
| 41217200 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 224Z00000X | Occupational Therapy Assistant | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 2251P0200X | Physical Therapist - Pediatrics | (* (Not Available)) | Secondary |
| 225200000X | Physical Therapy Assistant | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Secondary |
| 261QH0700X | Clinic/center - Hearing And Speech | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
| 261QX0100X | Clinic/center - Occupational Medicine | (* (Not Available)) | Secondary |
| 261QD1600X | Clinic/center - Developmental Disabilities | (* (Not Available)) | 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. Country Kids Inc. 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 |
|---|
Country Kids Inc.
1142 Orlando Dr,
De Pere, WI 54115-9484
Ph: (920) 339-0700 | Country Kids Inc.
1142 Orlando Dr,
De Pere, WI 54115-9484
Ph: (920) 339-0700 |
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