Ellen Obenberger, OT is a
Occupational Therapist - Neurorehabilitation based in Mammoth Hospital, California. Ellen Obenberger is licensed to practice in California (license number OT30161) and her current practice location is
85 Sierra Park Rd, Mammoth Hospital, California. She can be reached at her office (for appointments etc.) via phone at
(760) 934-7302.
NPI number for Ellen Obenberger is 1396887279 and her current mailing address is Po Box 660, 85 Sierra Park Rd, Mammoth Lakes, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396887279.
Healthcare Provider's Profile
| Full Name | Ellen Obenberger |
|---|
| Gender | Female |
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| Speciality | Occupational Therapist - Neurorehabilitation |
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| Location | 85 Sierra Park Rd, Mammoth Hospital, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1396887279
- Provider Enumeration Date: 02/13/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ellen Obenberger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396887279 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | OT30161 (California) | Primary |
| 225XE1200X | Occupational Therapist - Ergonomics | OT30161 (California) | Primary |
| 225XH1200X | Occupational Therapist - Hand | OT30161 (California) | Primary |
| 225XP0200X | Occupational Therapist - Pediatrics | OT30161 (California) | Primary |
| 225XN1300X | Occupational Therapist - Neurorehabilitation | OT30161 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ellen Obenberger is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ellen Obenberger, OT
Po Box 660, 85 Sierra Park Rd,
Mammoth Lakes, CA 93546-0660
Ph: (760) 934-1779 | Ellen Obenberger, OT
85 Sierra Park Rd,
Mammoth Hospital, CA 93546-0660
Ph: (760) 934-7302 |
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