| Kenneth Jeremias Brichacek, | |
|
2000 Auburn Dr Ste 200, Beachwood, OH 44122-4328 | |
| (877) 407-3422 | |
| (877) 407-4329 |
| Full Name | Kenneth Jeremias Brichacek |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 2000 Auburn Dr Ste 200, Beachwood, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922786573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT.003655 (Ohio) | Primary |
| Provider Name | Fox Rehabilitation Services Oh, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1265968481 PECOS PAC ID: 1254698350 Enrollment ID: O20171128001417 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Jeremias Brichacek, 7 Carnegie Plz, Cherry Hill, NJ 08003-1000 Ph: (877) 407-3422 | Kenneth Jeremias Brichacek, 2000 Auburn Dr Ste 200, Beachwood, OH 44122-4328 Ph: (877) 407-3422 |
Jamie M Novak, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 24400 Highpoint Rd, Suite 10, Beachwood, OH 44122 Phone: 216-896-0824 Fax: 216-896-0825 | |
Healy Lane Hindley, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2000 Auburn Dr Ste 200, Beachwood, OH 44122 Phone: 877-407-3422 Fax: 877-407-4329 | |
Jennifer Lynn Reese, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 24400 Highpoint Rd, Suite 10, Beachwood, OH 44122 Phone: 216-896-0824 | |
Stephanie Cornelius, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2000 Auburn Dr Ste 200, Beachwood, OH 44122 Phone: 877-407-3422 Fax: 877-407-4329 | |
Tiffany Ho, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2000 Auburn Dr Ste 200, Beachwood, OH 44122 Phone: 877-407-3422 | |
Mrs. Esther Dessler, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 23775 Greenlawn Ave, Beachwood, OH 44122 Phone: 216-223-8761 | |
Mikaela Dahill, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2000 Auburn Dr Ste 200, Beachwood, OH 44122 Phone: 877-407-3422 Fax: 877-407-4329 |