| Miss Jennifer Owen, | |
|
6430 Savannah Ave, Portage, IN 46368-4534 | |
| (219) 617-6763 | |
| Not Available |
| Full Name | Miss Jennifer Owen |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapy |
| Experience | 14 Years |
| Location | 6430 Savannah Ave, Portage, Indiana |
| 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 |
|---|---|---|---|
| 1114312337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 31005113A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeshore Bone And Joint Institute, Inc | 3173500519 | 74 |
| Provider Name | Lakeshore Bone & Joint Institute, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1508853953 PECOS PAC ID: 3173500519 Enrollment ID: O20040702000362 |
| Provider Name | Community Care Network Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1457610487 PECOS PAC ID: 3678737012 Enrollment ID: O20120614000331 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Jennifer Owen, 6430 Savannah Ave, Portage, IN 46368-4534 Ph: (219) 617-6763 | Miss Jennifer Owen, 6430 Savannah Ave, Portage, IN 46368-4534 Ph: (219) 617-6763 |
Tricia M Robinson, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6040 Lute Rd, Portage, IN 46368 Phone: 219-763-6858 Fax: 219-763-4858 | |
Melissa K Lepper, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6040 Lute Rd, Portage, IN 46368 Phone: 219-763-6858 Fax: 219-763-4858 | |
Darcie A Gresham, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6040 Lute Rd, Portage, IN 46368 Phone: 219-763-6858 Fax: 219-763-4858 | |
Anick Laferriere, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6040 Lute Rd, Portage, IN 46368 Phone: 219-763-6858 Fax: 219-763-4858 | |
Mrs. Olesya Anna Klocek, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 3691 Willowcreek Rd Ste 100, Portage, IN 46368 Phone: 219-921-1444 Fax: 219-926-6926 | |
Mr. Luke Mcauley, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3325 Willowcreek, Portage, IN 46368 Phone: 219-764-4888 Fax: 219-764-7676 |