Maya Helen Herzog, OTR/L | |
4636 E Marginal Way S Ste B100, Seattle, WA 98134-2322 | |
(206) 763-0352 | |
Not Available |
Full Name | Maya Helen Herzog |
---|---|
Gender | Female |
Speciality | Occupational Therapy |
Experience | 6 Years |
Location | 4636 E Marginal Way S Ste B100, Seattle, Washington |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629533526 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT60926626 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lighthouse For The Blind, Inc | 4587094800 | 2 |
Provider Name | Lighthouse For The Blind, Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1205478559 PECOS PAC ID: 4587094800 Enrollment ID: O20200428000934 |
Mailing Address | Practice Location Address |
---|---|
Maya Helen Herzog, OTR/L 4907 37th Ave S, Seattle, WA 98118-1720 Ph: (917) 517-9036 | Maya Helen Herzog, OTR/L 4636 E Marginal Way S Ste B100, Seattle, WA 98134-2322 Ph: (206) 763-0352 |
Jaclyn Ann Subkoviak, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 9th Ave, Seattle, WA 98101 Phone: 206-341-0461 Fax: 206-515-5886 | |
Tamira Bass, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 Seneca St, Seattle, WA 98104 Phone: 206-540-3705 | |
Ms. Mary Patricia Dodge, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1959 Ne Pacific St, Mailbox 356490, Seattle, WA 98195 Phone: 206-598-4830 | |
Demetrios Terezakis, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 325 9th Ave, Seattle, WA 98104 Phone: 206-744-6112 | |
Lisbeth Brucknr Lord, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3010 Ne 113th St, Seattle, WA 98125 Phone: 206-498-2532 | |
Elizabeth A. Reite, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 4010 Stone Way N, 300, Seattle, WA 98103 Phone: 206-949-9692 | |
Mr. David Emery Hall, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1660 S Columbian Way, Seattle, WA 98108 Phone: 206-277-1593 Fax: 206-768-5271 |