Kiersen Mogab, | |
8133 Mesa Dr # 208, Austin, TX 78759-8655 | |
(512) 968-6105 | |
Not Available |
Full Name | Kiersen Mogab |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 8133 Mesa Dr # 208, Austin, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053041343 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 113158 (Texas) | Primary |
Provider Name | Halcyon Home Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1962825547 PECOS PAC ID: 4688806433 Enrollment ID: O20210524002828 |
Mailing Address | Practice Location Address |
---|---|
Kiersen Mogab, 8133 Mesa Dr Ste 200, Austin, TX 78759-8655 Ph: (512) 468-0242 | Kiersen Mogab, 8133 Mesa Dr # 208, Austin, TX 78759-8655 Ph: (512) 968-6105 |
Mrs. Christina Joanne Bennett, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12001 Longhorn Pkwy, Austin, TX 78732 Phone: 512-266-5600 | |
Raychal Nycole Zupan, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4607 Manchaca Rd, Austin, TX 78745 Phone: 512-916-1511 | |
Ron Blake, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4607 Manchaca Rd, Austin, TX 78745 Phone: 512-916-1511 Fax: 512-916-1532 | |
Taylor R Norris, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9616 N Lamar Blvd Ste 105, Austin, TX 78753 Phone: 512-527-9608 | |
Sarah Marie Kandybowicz, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1008 Milford Way Unit A, Austin, TX 78745 Phone: 704-776-5903 | |
Diana Drawe, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 E Yager Ln, Austin, TX 78753 Phone: 512-233-6868 | |
Sheryl Bask, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12708 Riata Vista Cir, Austin, TX 78727 Phone: 972-370-3399 |