Mr Jasper S Banzon, OTR | |
1313 Dunbar Ave, Dunbar, WV 25064-2920 | |
(304) 654-6892 | |
Not Available |
Full Name | Mr Jasper S Banzon |
---|---|
Gender | Male |
Speciality | Occupational Therapy |
Experience | 27 Years |
Location | 1313 Dunbar Ave, Dunbar, West Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730200601 | NPI | - | NPPES |
1092 | Other | WV | OCCUPATIONAL THERAPY LIC |
KY-R2967 | Other | KY | OCCUPATIONAL THERAPY LIC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 1092 (West Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dunbar Therapy Center Llc | 3375779275 | 2 |
Dunbar Physical Therapy Llc | 4981047891 | 2 |
Provider Name | Dunbar Therapy Center Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1508291477 PECOS PAC ID: 3375779275 Enrollment ID: O20131125001049 |
Provider Name | Dunbar Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1063198851 PECOS PAC ID: 4981047891 Enrollment ID: O20240207004273 |
Mailing Address | Practice Location Address |
---|---|
Mr Jasper S Banzon, OTR P.o. Box 398, 5585 Madison Creek Rd., Salt Rock, WV 25559 Ph: (304) 654-6892 | Mr Jasper S Banzon, OTR 1313 Dunbar Ave, Dunbar, WV 25064-2920 Ph: (304) 654-6892 |
Mrs. Karen Ano Cruz, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1313 Dunbar Ave, Dunbar, WV 25064 Phone: 304-768-3307 Fax: 304-768-3620 | |
Mrs. Marleen Danielle Brennan, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2912 Gillespie Dr, Dunbar, WV 25064 Phone: 304-687-2741 | |
Maricris Yaplito Miller, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 Caldwell Ln, Dunbar, WV 25064 Phone: 304-744-4761 |