Mary Madison, OTR | |
10222 Ne 103rd Ter, Kansas City, MO 64157-7658 | |
(816) 896-9386 | |
Not Available |
Full Name | Mary Madison |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 10222 Ne 103rd Ter, Kansas City, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346773124 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 2005040669 (Missouri) | Primary |
Provider Name | Aegis Group Practice Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558819508 PECOS PAC ID: 5193036432 Enrollment ID: O20161109000544 |
Mailing Address | Practice Location Address |
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Mary Madison, OTR 10222 Ne 103rd Ter, Kansas City, MO 64157-7658 Ph: (816) 896-9386 | Mary Madison, OTR 10222 Ne 103rd Ter, Kansas City, MO 64157-7658 Ph: (816) 896-9386 |
J Gonterwitz, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2400 Pershing Rd, Kansas City, MO 64108 Phone: 816-701-4307 | |
Caden Junk, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 E 133rd St, Kansas City, MO 64145 Phone: 816-316-5700 | |
Krista Sue Stalcup, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5703 N Hull Ct, Kansas City, MO 64151 Phone: 816-746-4960 | |
Mrs. Claudia Jean Goldak, OTR L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 816-234-3380 | |
Ms. Sylvia J West, OTR/L,CLT-LANA Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 420 E 80th Ter, Kansas City, MO 64131 Phone: 816-510-3680 | |
Amy Grosenheider, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3101 Main St, Kansas City, MO 64111 Phone: 816-841-2284 | |
Kelly Moberly, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7326 N Mckinley Ave, Kansas City, MO 64158 Phone: 816-803-6884 |