Leslie C Erickson, OT | |
3222 Mishawaka Ave, South Bend, IN 46615-2352 | |
(574) 255-8730 | |
Not Available |
Full Name | Leslie C Erickson |
---|---|
Gender | Female |
Speciality | Occupational Therapy |
Experience | 45 Years |
Location | 3222 Mishawaka Ave, South Bend, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346565298 | NPI | - | NPPES |
300032591 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 31000509A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Concept Therapy Professional Corporation | 8123117876 | 3 |
Provider Name | Concept Therapy Professional Corporation |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1497824577 PECOS PAC ID: 8123117876 Enrollment ID: O20071203000365 |
Mailing Address | Practice Location Address |
---|---|
Leslie C Erickson, OT 524 E Mckinley Ave Ste 1, Mishawaka, IN 46545-6285 Ph: (574) 255-8730 | Leslie C Erickson, OT 3222 Mishawaka Ave, South Bend, IN 46615-2352 Ph: (574) 255-8730 |
Ellen Jean Eaton, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2505 E Jefferson Blvd, South Bend, IN 46615 Phone: 574-289-3945 | |
Gerald Oler, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1520 Enchanted Forest St, South Bend, IN 46637 Phone: 574-404-1524 | |
Kristin Shide, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2505 E Jefferson Blvd, South Bend, IN 46615 Phone: 574-289-4831 Fax: 574-234-2075 | |
Elizabeth Anne Sullivan, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 53880 Carmichael Dr, South Bend, IN 46635 Phone: 574-247-9441 Fax: 574-247-9442 | |
Mrs. Penny R Fitzpatrick, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1950 Ridgedale Rd, South Bend, IN 46614 Phone: 574-291-6722 | |
Julie White, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2012 Ironwood Cir, Suite 230, South Bend, IN 46635 Phone: 574-387-4049 | |
Starr E Kelly, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2505 E Jefferson Blvd, South Bend, IN 46615 Phone: 574-289-4831 Fax: 574-234-2075 |