Grant J Hasenour, OT | |
225 Crosslake Dr, Evansville, IN 47715-8198 | |
(812) 477-1558 | |
(812) 474-2296 |
Full Name | Grant J Hasenour |
---|---|
Gender | Male |
Speciality | Occupational Therapy |
Experience | 12 Years |
Location | 225 Crosslake Dr, Evansville, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154686897 | NPI | - | NPPES |
201121040 | Medicaid | IN | |
000000778985 | Other | IN | BLUE CROSS BLUE SHIELD |
000000779303 | Other | IN | BLUE CROSS BLUE SHIELD |
000000779590 | Other | IN | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 31005321A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prorehab Inc | 1254317217 | 64 |
Provider Name | Prorehab Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1770565509 PECOS PAC ID: 1254317217 Enrollment ID: O20061219000040 |
Provider Name | Tri-state Orthopaedic Surgeons Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073501003 PECOS PAC ID: 6800781949 Enrollment ID: O20080228000136 |
Mailing Address | Practice Location Address |
---|---|
Grant J Hasenour, OT 7300 E Indiana St, Suite 102, Evansville, IN 47715-2794 Ph: (812) 476-0409 | Grant J Hasenour, OT 225 Crosslake Dr, Evansville, IN 47715-8198 Ph: (812) 477-1558 |
Miss Sarah Rains, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 136 Avenida Las Brisas, Evansville, IN 47712 Phone: 618-676-5057 | |
Paul Revere Fletcher Iii, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5050 Lincoln Ave, Evansville, IN 47715 Phone: 844-553-0199 | |
Grady Wilkinson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 714 S Eickhoff Rd, Evansville, IN 47712 Phone: 812-985-9878 | |
Ms. Vicki June Camilla, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 25 S Boehne Camp Rd, Evansville, IN 47712 Phone: 812-423-7468 | |
Teri Newmaster, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 N Rosenberger Ave, Evansville, IN 47712 Phone: 812-491-3856 | |
Mrs. Brooke E Barkley, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 515 Read St, Evansville, IN 47710 Phone: 812-437-1420 Fax: 812-437-1425 | |
Emma Lenart, OTD, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4900 Shamrock Dr, Ste 100-102, Evansville, IN 47715 Phone: 812-479-7337 |