Angela Dawn Prock, | |
126 E Main St Ste C, Payson, AZ 85541-5488 | |
(928) 471-3445 | |
(928) 471-1015 |
Full Name | Angela Dawn Prock |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 126 E Main St Ste C, Payson, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144729286 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Provider Name | Bhsm Rehabilitation Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1497271431 PECOS PAC ID: 2062773138 Enrollment ID: O20180306002185 |
Mailing Address | Practice Location Address |
---|---|
Angela Dawn Prock, 126 E Main St Ste C, Payson, AZ 85541-5488 Ph: (928) 471-3445 | Angela Dawn Prock, 126 E Main St Ste C, Payson, AZ 85541-5488 Ph: (928) 471-3445 |
Mr. Richard Brian Staudt, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1108 N Camelot Dr, Payson, AZ 85541 Phone: 928-468-2333 | |
Karen M. Waters, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 127 E Main St, Suite D, Payson, AZ 85541 Phone: 928-474-8006 Fax: 928-474-8000 | |
Karin M Heaton, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 807 W Longhorn Rd, Payson, AZ 85541 Phone: 928-474-1120 | |
Denise Miller, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 107 E Lone Pine Dr, Payson, AZ 85541 Phone: 928-474-6896 |