Anne L Mummert, OTR | |
917 Sagamore Pkwy W, West Lafayette, IN 47906-1443 | |
(765) 463-2200 | |
(765) 463-3625 |
Full Name | Anne L Mummert |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 917 Sagamore Pkwy W, 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 |
---|---|---|---|
1174616791 | NPI | - | NPPES |
000000758022 | Other | IN | ANTHEM PIN - IU HEALTH ARNETT |
200036740 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 31001067A (Indiana) | Primary |
225XH1200X | Occupational Therapist - Hand | 31001067A (Indiana) | Secondary |
Provider Name | Arnett Clinic Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164490843 PECOS PAC ID: 0749184380 Enrollment ID: O20031125000119 |
Mailing Address | Practice Location Address |
---|---|
Anne L Mummert, OTR Po Box 4699, Lafayette, IN 47903-4699 Ph: (765) 449-2732 | Anne L Mummert, OTR 917 Sagamore Pkwy W, West Lafayette, IN 47906-1443 Ph: (765) 463-2200 |
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 | |
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 |