| Matthew W Weirich, | |
|
5300 N Illinois St, Ste 101, Fairview Heights, IL 62208-3500 | |
| (618) 624-9300 | |
| (618) 624-9330 |
| Full Name | Matthew W Weirich |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 5300 N Illinois St, Fairview Heights, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619241759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 2012003356 (Missouri) | Secondary |
| 225X00000X | Occupational Therapist | 056.009711 (Illinois) | Primary |
| Provider Name | Athletico Ltd |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1114449857 PECOS PAC ID: 4789602681 Enrollment ID: O20171211002357 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew W Weirich, 5300 N Illinois St, Ste 101, Fairview Heights, IL 62208-3500 Ph: (618) 624-9300 | Matthew W Weirich, 5300 N Illinois St, Ste 101, Fairview Heights, IL 62208-3500 Ph: (618) 624-9300 |
Ronnye Mcinteer, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 141 Market Pl, Suite 203, Fairview Heights, IL 62208 Phone: 618-398-4118 Fax: 847-441-5593 | |
Linda Rinker, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 141 Market Pl, Suite 203, Fairview Heights, IL 62208 Phone: 618-398-4118 Fax: 847-881-9640 | |
Mr. Kurt Jon Muskopf, OTRIL CHT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 5900 N Illinois, Ste 9, Fairview Heights, IL 62208 Phone: 314-621-1416 Fax: 618-624-9330 | |
Kathrine Warring, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 125 N Ruby Ln, Fairview Heights, IL 62208 Phone: 618-398-4226 Fax: 618-398-1759 | |
Erin Moranville, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 5300 N Illinois St Ste 101, Fairview Heights, IL 62208 Phone: 618-624-9300 | |
Mrs. Tiffany Clare Sinovic, MS, OTR/L Occupational Therapist Medicare: May Accept Medicare Assignments Practice Location: 13 Executive Dr, Suite 18, Fairview Heights, IL 62208 Phone: 618-624-8105 Fax: 618-624-8214 | |
Michele Crisler, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 141 Market Pl, Suite 203, Fairview Heights, IL 62208 Phone: 618-398-4118 Fax: 847-881-9640 |