Jenna Marie Cordel, OT | |
712 1st Ter, Ste 103, Lansing, KS 66043-1735 | |
(913) 727-2022 | |
(913) 727-2033 |
Full Name | Jenna Marie Cordel |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 712 1st Ter, Lansing, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326391616 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 17-02817 (Kansas) | Primary |
225X00000X | Occupational Therapist | 2012022632 (Missouri) | Secondary |
Provider Name | Preferred Pt Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1154568665 PECOS PAC ID: 9436447422 Enrollment ID: O20161007001470 |
Mailing Address | Practice Location Address |
---|---|
Jenna Marie Cordel, OT 200 W Douglas Ave, Ste 1040, Wichita, KS 67202-3013 Ph: (316) 263-0003 | Jenna Marie Cordel, OT 712 1st Ter, Ste 103, Lansing, KS 66043-1735 Ph: (913) 727-2022 |
Mrs. Erin D. Grosshuesch, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 757 W. Eisenhower, Lansing, KS 66043 Phone: 913-534-8336 Fax: 913-250-0522 | |
Sunni Lyn Alford, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 712 1st Ter, Ste 103, Lansing, KS 66043 Phone: 913-727-2022 Fax: 913-727-2033 | |
Mrs. Racheal Ann Miller, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 210 N Plaza Dr, Lansing, KS 66043 Phone: 913-727-1284 | |
Mrs. Angela Petite, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 730 1st Ter, Lansing, KS 66043 Phone: 913-683-3914 | |
Paige Brant, OTA/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 757 W Eisenhower Rd, Lansing, KS 66043 Phone: 913-565-9023 Fax: 913-250-0522 |