Madison Heaton, | |
105 Chester Rd, Springfield, VT 05156-2106 | |
(802) 885-5741 | |
Not Available |
Full Name | Madison Heaton |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 105 Chester Rd, Springfield, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1164296745 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 46TR01141200 (New Jersey) | Secondary |
225X00000X | Occupational Therapist | 072.0134420 (Vermont) | Primary |
Provider Name | Synergy Care Southeast Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1427466614 PECOS PAC ID: 6204079163 Enrollment ID: O20141017000587 |
Mailing Address | Practice Location Address |
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Madison Heaton, 189 Wabeeno Trl, Medford Lakes, NJ 08055-1319 Ph: (609) 678-5808 | Madison Heaton, 105 Chester Rd, Springfield, VT 05156-2106 Ph: (802) 885-5741 |
Ann Marie Hanna, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 Chester Rd, Springfield, VT 05156 Phone: 802-885-5741 | |
Ms. Laine Fountain, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 43 Union St, Springfield, VT 05156 Phone: 802-885-5155 | |
Ashley Nicole Tomasko, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 Chester Rd, Springfield, VT 05156 Phone: 802-885-5741 | |
Mrs. Tynisa La'keishirr Bayles, MOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 Randall Hill Rd, Springfield, VT 05156 Phone: 832-247-7700 | |
Jessica Lawler Otc, Clt, Pllc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 160 Wall St, Springfield, VT 05156 Phone: 802-363-7375 | |
Jamie Chavez, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 Chester Rd, Springfield, VT 05156 Phone: 802-885-5741 |