Mrs Patricia Fuller, OTR - Occupational Therapist in Shawano, WI

Mrs Patricia Fuller, OTR is a Occupational Therapist - Pediatrics based in Shawano, Wisconsin. Mrs Patricia Fuller is licensed to practice in Wisconsin (license number 2196-026) and her current practice location is 504 Lakeland Rd, Shawano, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (715) 526-5547.

NPI number for Mrs Patricia Fuller is 1689848764 and her current mailing address is 615 S Lincoln St, Shawano, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689848764.

Contact Information

Mrs Patricia Fuller, OTR
504 Lakeland Rd,
Shawano, WI 54166-3836
(715) 526-5547
Not Available



Healthcare Provider's Profile

Full NameMrs Patricia Fuller
GenderFemale
SpecialityOccupational Therapist - Pediatrics
Location504 Lakeland Rd, Shawano, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1689848764
  • Provider Enumeration Date: 04/18/2008
  • Last Update Date: 04/18/2008

Medical Identifiers

Medical identifiers for Mrs Patricia Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689848764NPI-NPPES
40622700MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225XP0200XOccupational Therapist - Pediatrics 2196-026 (Wisconsin)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. Mrs Patricia Fuller 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 AddressPractice Location Address
Mrs Patricia Fuller, OTR
615 S Lincoln St,
Shawano, WI 54166-2915

Ph: (715) 524-5094
Mrs Patricia Fuller, OTR
504 Lakeland Rd,
Shawano, WI 54166-3836

Ph: (715) 526-5547

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› Verified 4 days ago


Occupational Therapist in Shawano, WI

Carolyn Anne Flood, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 100 County Road B, Shawano, WI 54166
Phone: 715-526-7370    
Mrs. Carey Bubolz Grieves, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 116 N Main St, Shawano, WI 54166
Phone: 715-526-7370    Fax: 715-526-7294
Cynthia Ellen Kirschling, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 116 N Main St, Shawano, WI 54166
Phone: 715-526-7293    Fax: 715-526-7294
Sonya M Jones, OT
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 100 County Road B, Shawano, WI 54166
Phone: 715-526-7293    Fax: 715-526-7717
Jenna Kristine Keller,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 100 County Road B, Shawano, WI 54166
Phone: 715-526-7370    
Fue Xeng Moua, OTR
Occupational Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 116 N Main St, Shawano, WI 54166
Phone: 715-526-7370    Fax: 715-526-7294
Maria Wedig, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 100 County Road B, Shawano, WI 54166
Phone: 715-526-2111    

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