Mrs Stacy Lynn Panetta, OTR | |
1500 E Medical Center Dr, Ann Arbor, MI 48109-0999 | |
(734) 763-2554 | |
Not Available |
Full Name | Mrs Stacy Lynn Panetta |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 1500 E Medical Center Dr, Ann Arbor, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891915765 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 5201006901 (Michigan) | Primary |
Provider Name | Shooting Star Feeding And Swallowing Therapy |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1831855071 PECOS PAC ID: 0446644819 Enrollment ID: O20220301000374 |
Mailing Address | Practice Location Address |
---|---|
Mrs Stacy Lynn Panetta, OTR 15552 Marilyn Ave, Plymouth, MI 48170-4838 Ph: (734) 420-1214 | Mrs Stacy Lynn Panetta, OTR 1500 E Medical Center Dr, Ann Arbor, MI 48109-0999 Ph: (734) 763-2554 |
Michelle Lynne Brisse, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1540 E Hospital Dr, Ann Arbor, MI 48109 Phone: 877-475-6688 | |
Brigit Convery, OTRL Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-7157 | |
Lorraine Berta, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1200 Earhart Rd, Ann Arbor, MI 48105 Phone: 734-929-6883 | |
Linda Kathleen Arnold, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1200 Earhart Rd, Ann Arbor, MI 48105 Phone: 303-829-5157 | |
Lynnette Rasmussen, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-7070 | |
Karen Kauranen, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 East Medical Center Drive, Ann Arbor, MI 48109 Phone: 734-936-7070 | |
Madeline Marie Bartek, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3200 W Liberty Rd Ste F, Ann Arbor, MI 48103 Phone: 734-369-6002 |