| Mary A Meismer, OTR/L, CHT (NBCOT) | |
|
1111 Trinity Ln, Suite 111, Bloomington, IL 61704-8111 | |
| (309) 663-6461 | |
| (309) 661-8107 |
| Full Name | Mary A Meismer |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist - Hand |
| Location | 1111 Trinity Ln, Bloomington, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174531370 | NPI | - | NPPES |
| 056.000370 | Other | IL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 056000370 (Illinois) | Secondary |
| 225XH1200X | Occupational Therapist - Hand | 056000370 (Illinois) | Primary |
| Provider Name | Carle West Physician Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary A Meismer, OTR/L, CHT (NBCOT) 1111 Trinity Ln, Suite 111, Bloomington, IL 61704-8111 Ph: (309) 663-6461 | Mary A Meismer, OTR/L, CHT (NBCOT) 1111 Trinity Ln, Suite 111, Bloomington, IL 61704-8111 Ph: (309) 663-6461 |
Innovations Pediatric Therapy, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Yount Dr, Bloomington, IL 61704 Phone: 309-824-7417 | |
Krista Elisabeth Bajjalieh, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2200 E Washington St, Bloomington, IL 61701 Phone: 309-662-3311 | |
Bailey Wilson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2200 E Washington St, Bloomington, IL 61701 Phone: 309-661-6275 | |
Cynthia Johnson, OTR/L, CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2200 East Washington St, Bloomington, IL 61701 Phone: 309-662-3311 | |
Katelyn Ann White, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3024 E Empire St, Bloomington, IL 61704 Phone: 309-556-7900 Fax: 309-556-7928 | |
Ms. Nicholle Leigh Eisfelder, MS,OT/L,CHT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1111 Trinity Lane, Suite 111, Bloomington, IL 61704 Phone: 309-663-6461 Fax: 309-663-5711 | |
Ms. Amy Lynn Nelson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3420 |