Donna Sue Edge, OT | |
1107 W Broadway St, Ardmore, OK 73401-2833 | |
(580) 226-5566 | |
(580) 226-5567 |
Full Name | Donna Sue Edge |
---|---|
Gender | Female |
Speciality | Occupational Therapy |
Experience | 43 Years |
Location | 1107 W Broadway St, Ardmore, Oklahoma |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942322128 | NPI | - | NPPES |
200110030A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 707 (Oklahoma) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Summit Rehab Llc | 4486794591 | 7 |
Provider Name | Summit Rehab Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1447480082 PECOS PAC ID: 4486794591 Enrollment ID: O20091222000314 |
Mailing Address | Practice Location Address |
---|---|
Donna Sue Edge, OT 1405 4th Ave Nw # 296, Ardmore, OK 73401-2708 Ph: (580) 795-4561 | Donna Sue Edge, OT 1107 W Broadway St, Ardmore, OK 73401-2833 Ph: (580) 226-5566 |
Jillian Garrett, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1107 W Broadway St, Ardmore, OK 73401 Phone: 580-226-5566 Fax: 580-226-5567 | |
Judy S Steele, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2002 12th Ave Nw, Ste A, Ardmore, OK 73401 Phone: 580-226-9235 Fax: 580-226-9239 | |
Lindsay Sanford, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1107 W Broadway St, Ardmore, OK 73401 Phone: 580-226-5566 | |
Sean Daniel O'halloran, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1405 4th Ave Nw # 296, Ardmore, OK 73401 Phone: 580-795-4561 Fax: 580-223-6448 | |
Courtney Spears, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1301 Kiowa St, Ardmore, OK 73401 Phone: 580-670-3117 | |
Cheryl Genn, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1107 W Broadway St, Ardmore, OK 73401 Phone: 580-226-5566 | |
Taylor Breann Dupree, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1301 Kiowa St, Ardmore, OK 73401 Phone: 580-670-3117 |