Ms Mindy J Wade, OTR in Lake Mills, WI - Occupational Therapist

Ms Mindy J Wade, OTR is a Occupational Therapist based in Lake Mills, Wisconsin. Ms Mindy J Wade is licensed to practice in Wisconsin (license number 3470026) and her current practice location is 200 E Tyranena Park Rd, Lake Mills, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (920) 648-8170.

NPI number for Ms Mindy J Wade is 1194863415 and her current mailing address is 200 E Tyranena Park Rd, Lake Mills, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194863415.

Contact Information

	Ms Mindy J Wade, OTR
	200 E Tyranena Park Rd, Lake Mills, WI 53551-9678
	(920) 648-8170
	Not Available

Healthcare Provider's Profile

Full Name	Ms Mindy J Wade
Gender	Female
Speciality	Occupational Therapist
Location	200 E Tyranena Park Rd, Lake Mills, Wisconsin
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1194863415
Provider Enumeration Date: 02/01/2007
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Ms Mindy J Wade such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194863415	NPI	-	NPPES
41030300	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	3470026 (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. Ms Mindy J Wade 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
Ms Mindy J Wade, OTR 200 E Tyranena Park Rd, Lake Mills, WI 53551-9678 Ph: (920) 648-8170	Ms Mindy J Wade, OTR 200 E Tyranena Park Rd, Lake Mills, WI 53551-9678 Ph: (920) 648-8170

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Occupational Therapist in Lake Mills, WI

Larissa Hampton, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 901 Mulberry St, Lake Mills, WI 53551 Phone: 920-648-8344
Sara Fitch, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 901 Mulberry St, Lake Mills, WI 53551 Phone: 920-648-3144
Kristen Lanae Wichman, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 E Tyranena Park Rd, Lake Mills, WI 53551 Phone: 920-648-8170
Ms. Marilyn Larson, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 135 E Prospect St, Lake Mills, WI 53551 Phone: 920-648-2338
Eileen M Zeier, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 901 Mulberry St, Lake Mills, WI 53551 Phone: 920-648-8344 Fax: 920-648-3441
Ms. Pamela Sue Speckbrock, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 901 Mulberry St, Lake Mills, WI 53551 Phone: 920-648-8344

Ms Mindy J Wade, OTR - Occupational Therapist in Lake Mills, WI