Mrs Marianne Bevilacqua-harding, is a
Occupational Therapist based in Statham, Georgia. Mrs Marianne Bevilacqua-harding is licensed to practice in Pennsylvania (license number OC006148L) and her current practice location is
1774 Gentry Ln, Statham, Georgia. She can be reached at her office (for appointments etc.) via phone at
(484) 883-0919.
NPI number for Mrs Marianne Bevilacqua-harding is 1053508713 and her current mailing address is 1774 Gentry Ln, Statham, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053508713.
Healthcare Provider's Profile
Full Name | Mrs Marianne Bevilacqua-harding |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 1774 Gentry Ln, Statham, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053508713
- Provider Enumeration Date: 09/26/2007
- Last Update Date: 01/06/2015
Medical Identifiers
Medical identifiers for Mrs Marianne Bevilacqua-harding such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053508713 | NPI | - | NPPES |
1020403110001 | Other | PA | PROMISE PROVIDER ID# |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | OC006148L (Pennsylvania) | 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 Marianne Bevilacqua-harding 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 Marianne Bevilacqua-harding, 1774 Gentry Ln, Statham, GA 30666-2059 Ph: (484) 883-0919 | Mrs Marianne Bevilacqua-harding, 1774 Gentry Ln, Statham, GA 30666-2059 Ph: (484) 883-0919 |
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