Benjamin C Sudkamp, MOT | |
913 Bolger Ct, Fenton, MO 63026-2030 | |
(636) 305-9599 | |
(636) 305-9799 |
Full Name | Benjamin C Sudkamp |
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Gender | Male |
Speciality | Occupational Therapist |
Location | 913 Bolger Ct, Fenton, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982350112 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (Missouri) | Primary |
Provider Name | Athletico Ltd |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1114449857 PECOS PAC ID: 4789602681 Enrollment ID: O20171211002357 |
Mailing Address | Practice Location Address |
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Benjamin C Sudkamp, MOT 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-6250 | Benjamin C Sudkamp, MOT 913 Bolger Ct, Fenton, MO 63026-2030 Ph: (636) 305-9599 |
Mrs. Tessa D Forthaus, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1393 Bowles Ave, Fenton, MO 63026 Phone: 636-326-9606 | |
Elyse Nicole Wingbermuehle, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1393 Bowles Ave, Fenton, MO 63026 Phone: 636-326-9606 | |
Mrs. Dawn Rochelle French, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 49 Winter Valley Dr, Fenton, MO 63026 Phone: 314-239-3395 | |
Mrs. Caitlin Berkbigler, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Arbor Ter, Fenton, MO 63026 Phone: 636-343-0016 | |
Cynthia Margaret Hood, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 418 Winter Bluff Dr, Fenton, MO 63026 Phone: 636-717-0101 | |
Vivi Y Radtke, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Arbor Ter, Fenton, MO 63026 Phone: 636-343-0016 Fax: 636-343-4794 | |
Megan Assareh, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2681 Winding Valley Dr, Fenton, MO 63026 Phone: 618-830-1310 |