Mr Mark Dejesus, OT | |
2700 West 30th Avenue, Emporia, KS 66801 | |
(620) 343-9285 | |
Not Available |
Full Name | Mr Mark Dejesus |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 2700 West 30th Avenue, Emporia, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225249642 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 1701739 (Kansas) | Primary |
Provider Name | Emporia Myofascial Care3 |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1306569660 PECOS PAC ID: 0648647594 Enrollment ID: O20221104002249 |
Mailing Address | Practice Location Address |
---|---|
Mr Mark Dejesus, OT 2019 Meadowlark Ln, Emporia, KS 66801-6127 Ph: (620) 341-9549 | Mr Mark Dejesus, OT 2700 West 30th Avenue, Emporia, KS 66801 Ph: (620) 343-9285 |
Jennifer Kathleen Sakovitz, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2300 Industrial Rd, Emporia, KS 66801 Phone: 913-940-8612 | |
Brenda Lee, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 W 12th Ave, Emporia, KS 66801 Phone: 620-343-6800 Fax: 620-340-6187 | |
Emporia Myofascial Care3 Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2522 W 15th Ave, Emporia, KS 66801 Phone: 620-803-2097 | |
Miss Janice Leann Cook, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 W 12th Ave, Emporia, KS 66801 Phone: 620-343-6800 | |
Ms. Julia L Gotchall, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 W 12th Ave, Emporia, KS 66801 Phone: 620-343-6800 | |
Tina Michelle Hauff, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 State St, Emporia, KS 66801 Phone: 620-343-2693 |