Adam Ewald, | |
909 Sagamore Pkwy W Ste 917, West Lafayette, IN 47906-1443 | |
(765) 463-0710 | |
(765) 463-0711 |
Full Name | Adam Ewald |
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Gender | Male |
Speciality | Occupational Therapist |
Location | 909 Sagamore Pkwy W Ste 917, West Lafayette, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740716802 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 31006005A (Indiana) | Primary |
Provider Name | Franciscan Physician Network |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
Mailing Address | Practice Location Address |
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Adam Ewald, Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Adam Ewald, 909 Sagamore Pkwy W Ste 917, West Lafayette, IN 47906-1443 Ph: (765) 463-0710 |
Antoinette Hurrle Davisson Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 434 Littleton St, West Lafayette, IN 47906 Phone: 765-532-1269 | |
Amanda Criste, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2741 N Salisbury St, West Lafayette, IN 47906 Phone: 765-464-5135 Fax: 765-463-7853 | |
Jade Price, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 257 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-463-2200 Fax: 765-463-3625 | |
Mrs. Carolyn Ann Bart, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3295 Secretariat Cir, West Lafayette, IN 47906 Phone: 765-463-4489 | |
Anne L Mummert, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 917 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-463-2200 Fax: 765-463-3625 | |
Ms. Megan Tenwinkel, COTA Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2741 N Salisbury St, West Lafayette, IN 47906 Phone: 765-463-7546 | |
Audra High, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1700 Lindberg Rd, West Lafayette, IN 47906 Phone: 765-464-5655 |