Jill Louise Haxton, | |
5407 Vance Ave, Fort Wayne, IN 46815-6154 | |
(260) 494-8081 | |
Not Available |
Full Name | Jill Louise Haxton |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 5407 Vance Ave, Fort Wayne, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740445113 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 31000658A (Indiana) | Primary |
Provider Name | Aegis Group Practice Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1083227169 PECOS PAC ID: 5193036432 Enrollment ID: O20201023002377 |
Mailing Address | Practice Location Address |
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Jill Louise Haxton, 5407 Vance Ave, Fort Wayne, IN 46815-6154 Ph: (260) 494-8081 | Jill Louise Haxton, 5407 Vance Ave, Fort Wayne, IN 46815-6154 Ph: (260) 494-8081 |
Holly Guenther, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3439 Hobson Rd, Fort Wayne, IN 46805 Phone: 260-373-7925 | |
Lauren Elaine Lavy, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2200 Randallia Dr, Fort Wayne, IN 46805 Phone: 260-373-4300 | |
Mrs. Lori Snodgrass, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2622 Lake Ave, Fort Wayne, IN 46805 Phone: 260-460-3279 Fax: 260-460-3158 | |
Caleb Oren, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2827 Northgate Blvd, Fort Wayne, IN 46835 Phone: 260-492-1400 | |
Addie Kern, OTD, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4935 Hillegas Rd, Fort Wayne, IN 46818 Phone: 260-338-1241 Fax: 260-338-1231 | |
Cody Reese Zimmer, OTD, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 300 E Washington Blvd, Fort Wayne, IN 46802 Phone: 260-422-5511 | |
Stephanie Bowers, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4180 Sage Bluff Crossing, Fort Wayne, IN 46804 Phone: 260-443-7300 Fax: 260-482-5005 |