Mary Alice Keith, OTR/L is a
Occupational Therapist based in Chatham, Illinois. Mary Alice Keith is licensed to practice in Illinois (license number 056000571) and her current practice location is
805 E. Spruce, Chatham, Illinois. She can be reached at her office (for appointments etc.) via phone at
(217) 483-4643.
NPI number for Mary Alice Keith is 1124378799 and her current mailing address is 805 E. Spruce, Chatham, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124378799.
Healthcare Provider's Profile
Full Name | Mary Alice Keith |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 805 E. Spruce, Chatham, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124378799
- Provider Enumeration Date: 09/11/2012
- Last Update Date: 09/11/2012
Medical Identifiers
Medical identifiers for Mary Alice Keith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124378799 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 056000571 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Alice Keith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mary Alice Keith, OTR/L 805 E. Spruce, Chatham, IL 62692 Ph: () - | Mary Alice Keith, OTR/L 805 E. Spruce, Chatham, IL 62692 Ph: (217) 483-4643 |
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