| Melissa L Genovese, OTR/L | |
|
102 E Lake Mead Pkwy, Henderson, NV 89015-5575 | |
| (702) 557-1857 | |
| Not Available |
| Full Name | Melissa L Genovese |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 102 E Lake Mead Pkwy, Henderson, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700287984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 12-0269 (Nevada) | Secondary |
| 225X00000X | Occupational Therapist | 7235 (Tennessee) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1306454558 PECOS PAC ID: 2163339722 Enrollment ID: O20200925002518 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa L Genovese, OTR/L 11124 Kingston Pike Ste 119 #159, Knoxville, TN 37934 Ph: (208) 966-1160 | Melissa L Genovese, OTR/L 102 E Lake Mead Pkwy, Henderson, NV 89015-5575 Ph: (702) 557-1857 |
Jahana Diiorio, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1176 Wigwam Pkwy, Henderson, NV 89074 Phone: 718-300-1331 | |
Kayla Cosgrove, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2850 W Horizon Ridge Pkwy Ste 320, Henderson, NV 89052 Phone: 702-564-4116 Fax: 702-932-2403 | |
Ms. June Marie Acompanado, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 969 Via Arenula St, Henderson, NV 89052 Phone: 702-883-6542 Fax: 702-837-4890 | |
Ren Montgomery Gilleo, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9011 Sierra Palms Way, Henderson, NV 89074 Phone: 702-227-4477 | |
Tyler Trees, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2401 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89052 Phone: 702-458-1300 | |
Christen Leach, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2460 Kaymin Ridge Rd, Henderson, NV 89052 Phone: 702-371-3994 | |
Rebecca Hecht, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1781 Clear River Falls Ln, Henderson, NV 89012 Phone: 443-791-4739 |