Mrs Lisa Jane Eaton, MS OTR/L CAP is a
Occupational Therapist based in Powell, Wyoming. Mrs Lisa Jane Eaton is licensed to practice in Wyoming (license number 686) and her current practice location is
507 N Clark St, Powell, Wyoming. She can be reached at her office (for appointments etc.) via phone at
(970) 420-9588.
NPI number for Mrs Lisa Jane Eaton is 1306039888 and her current mailing address is 999 Lane 5, Powell, Wyoming. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306039888.
Healthcare Provider's Profile
| Full Name | Mrs Lisa Jane Eaton |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 507 N Clark St, Powell, Wyoming |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1306039888
- Provider Enumeration Date: 08/20/2007
- Last Update Date: 10/25/2021
Medical Identifiers
Medical identifiers for Mrs Lisa Jane Eaton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306039888 | NPI | - | NPPES |
| 1770688871 | Medicaid | WY | |
| 145664400 | Medicaid | WY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CAP-190 (Wyoming) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | 686 (Wyoming) | 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 Lisa Jane Eaton 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 |
|---|
Mrs Lisa Jane Eaton, MS OTR/L CAP
999 Lane 5,
Powell, WY 82435-9740
Ph: (970) 420-9588 | Mrs Lisa Jane Eaton, MS OTR/L CAP
507 N Clark St,
Powell, WY 82435-1915
Ph: (970) 420-9588 |
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