Jessica Marie Tariske, OTRL | |
701 E Main St, Hart, MI 49420-1168 | |
(231) 873-2148 | |
Not Available |
Full Name | Jessica Marie Tariske |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 701 E Main St, Hart, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467940908 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
225X00000X | Occupational Therapist | (Michigan) | Primary |
Provider Name | Eagle Village Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1710351598 PECOS PAC ID: 3971976275 Enrollment ID: O20230308000326 |
Mailing Address | Practice Location Address |
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Jessica Marie Tariske, OTRL 701 E Main St, Hart, MI 49420-1168 Ph: () - | Jessica Marie Tariske, OTRL 701 E Main St, Hart, MI 49420-1168 Ph: (231) 873-2148 |
Haley May Porter, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 E Main St, Hart, MI 49420 Phone: 231-873-6026 | |
Kaitlyn Felt, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 E Main St, Hart, MI 49420 Phone: 231-873-6600 | |
Mrs. Deborah A Windell, OTRL Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 601 E Main St, Hart, MI 49420 Phone: 231-873-3577 Fax: 231-873-3557 | |
Miss Maria Lynn Ortman, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 E Main St, Hart, MI 49420 Phone: 231-873-6600 | |
Nathan Hayes, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 E Main St, Hart, MI 49420 Phone: 231-873-3577 Fax: 231-873-3557 |