Mrs Kelly Eisenhauer, OTR/L is a
Occupational Therapist based in Fernandina, Florida. Mrs Kelly Eisenhauer is licensed to practice in Florida (license number 18354) and her current practice location is
1885 S 14th St, Fernandina, Florida. She can be reached at her office (for appointments etc.) via phone at
(904) 204-3430.
NPI number for Mrs Kelly Eisenhauer is 1639728645 and her current mailing address is 3901 University Blvd S, Jacksonville, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639728645.
Healthcare Provider's Profile
Full Name | Mrs Kelly Eisenhauer |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 1885 S 14th St, Fernandina, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639728645
- Provider Enumeration Date: 09/11/2019
- Last Update Date: 09/11/2019
Medical Identifiers
Medical identifiers for Mrs Kelly Eisenhauer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639728645 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 18354 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kelly Eisenhauer is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Kelly Eisenhauer, OTR/L 3901 University Blvd S, Jacksonville, FL 32216-4312 Ph: (904) 345-7251 | Mrs Kelly Eisenhauer, OTR/L 1885 S 14th St, Fernandina, FL 32034-3033 Ph: (904) 204-3430 |
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