Mr Mark P Gremillion, OT | |
2002 Johnson St Ste 100, Jennings, LA 70546-3646 | |
(337) 824-4547 | |
(337) 824-4548 |
Full Name | Mr Mark P Gremillion |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 2002 Johnson St Ste 100, Jennings, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134284557 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | Z10533 (Louisiana) | Primary |
Provider Name | Therapy Center Of Jefferson Davis Parish, Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1508971045 PECOS PAC ID: 0345207544 Enrollment ID: O20050120000627 |
Provider Name | Lemoine Therapy Services Of Cenla Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1336242767 PECOS PAC ID: 4789635244 Enrollment ID: O20050202000579 |
Mailing Address | Practice Location Address |
---|---|
Mr Mark P Gremillion, OT 118 Richland Ave, Lafayette, LA 70508-6606 Ph: (337) 824-4547 | Mr Mark P Gremillion, OT 2002 Johnson St Ste 100, Jennings, LA 70546-3646 Ph: (337) 824-4547 |
Prof. Danielle Anthaume Keyser, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2002 Johnson St, Suite 100, Jennings, LA 70546 Phone: 337-824-4547 Fax: 337-824-4548 | |
Amy Pellerin Fewell, LOTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 619 N Main St, Jennings, LA 70546 Phone: 337-824-8287 | |
Mr. Steven Charles Coon, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2002 Johnson St, Ste. 100, Jennings, LA 70546 Phone: 337-824-4547 Fax: 337-824-4548 | |
Victoria K Baudoin, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2002 Johnson St, Suite 100, Jennings, LA 70546 Phone: 337-824-4547 Fax: 337-824-4548 | |
Stephania Ann Taylor, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2002 Johnson St, Suite 100, Jennings, LA 70546 Phone: 337-824-4547 Fax: 337-824-4548 | |
Brittany Bureau Talley, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2002 Johnson St, Suite 100, Jennings, LA 70546 Phone: 337-824-4547 Fax: 337-824-4548 |