Tabitha Lyn Ganske, PTA is a
Physical Medicine & Rehabilitation physician based in Glen Carbon, Illinois. Tabitha Lyn Ganske is licensed to practice in Illinois (license number 160.008904) and her current practice location is 27 Auerbach Pl, Glen Carbon, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 288-3700.
NPI number for Tabitha Lyn Ganske is 1164023982 and her current mailing address is 106 Echo Valley Dr, Collinsville, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164023982.
Physician's Profile
Full Name | Tabitha Lyn Ganske |
---|
Gender | Female |
---|
Speciality | Physical Medicine & Rehabilitation |
---|
Location | 27 Auerbach Pl, Glen Carbon, Illinois |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164023982
- Provider Enumeration Date: 11/06/2020
- Last Update Date: 11/06/2020
Medical Identifiers
Medical identifiers for Tabitha Lyn Ganske such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164023982 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | 2019027272 (Missouri) | Secondary |
208100000X | Physical Medicine & Rehabilitation | 160.008904 (Illinois) | 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. Tabitha Lyn Ganske 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 |
Tabitha Lyn Ganske, PTA 106 Echo Valley Dr, Collinsville, IL 62234-1498 Ph: (618) 401-3307 | Tabitha Lyn Ganske, PTA 27 Auerbach Pl, Glen Carbon, IL 62034-1596 Ph: (618) 288-3700 |
Reviews and Comments