Erica L Faanes, MSOT | |
503 Otis Bowen Dr, Munster, IN 46321-4158 | |
(219) 934-0590 | |
Not Available |
Full Name | Erica L Faanes |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 503 Otis Bowen Dr, Munster, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992369862 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 056012935 (Illinois) | Secondary |
225X00000X | Occupational Therapist | 31007561A (Indiana) | Primary |
Provider Name | Paragon Outpatient Rehabilitation Services, Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1871867325 PECOS PAC ID: 8022272848 Enrollment ID: O20180926000250 |
Mailing Address | Practice Location Address |
---|---|
Erica L Faanes, MSOT 503 Otis Bowen Dr, Munster, IN 46321-4158 Ph: (219) 934-0590 | Erica L Faanes, MSOT 503 Otis Bowen Dr, Munster, IN 46321-4158 Ph: (219) 934-0590 |
Judith A Woods, OTR/L,CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1650 45th Ave, Suite 2d, Munster, IN 46321 Phone: 219-836-4921 | |
Northwest Indiana Rehabilitation Services, Inc. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8517 Forest Ave, Munster, IN 46321 Phone: 219-836-1916 Fax: 219-836-4883 | |
Karen Bledsoe, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 901 Macarthur Blvd, Munster, IN 46321 Phone: 219-703-2061 | |
Mrs. Kaitlyn Marie Frost, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9950 Calumet Ave, Munster, IN 46321 Phone: 219-703-2755 | |
Susan C Degroate, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 901 Macarthur Blvd, Munster, IN 46321 Phone: 219-703-1404 | |
Mrs. Amy J Smith, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 901 Macarthur Blvd, Munster, IN 46321 Phone: 219-836-1600 Fax: 219-836-6752 | |
Miss Cathy Marie Mistovich, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 Macarthur Blvd, Munster, IN 46321 Phone: 219-836-2995 Fax: 219-836-4075 |