| Ms Elizabeth Visser, OTR/L | |
|
3221 Beacon Pkwy Ste 100, Granger, IN 46530-7196 | |
| (574) 647-2930 | |
| (574) 647-2935 |
| Full Name | Ms Elizabeth Visser |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist - Hand |
| Location | 3221 Beacon Pkwy Ste 100, Granger, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801139530 | NPI | - | NPPES |
| 300085802 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT00003199 (Washington) | Secondary |
| 225XH1200X | Occupational Therapist - Hand | 31006709A (Indiana) | Primary |
| Provider Name | Beacon Health Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1386154821 PECOS PAC ID: 1254690530 Enrollment ID: O20180111002456 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Elizabeth Visser, OTR/L 3245 Health Drive, Suite 100, Granger, IN 46530-1380 Ph: (574) 647-1840 | Ms Elizabeth Visser, OTR/L 3221 Beacon Pkwy Ste 100, Granger, IN 46530-7196 Ph: (574) 647-2930 |
Stacey Ann Dalby, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6330 N Fir Rd, Granger, IN 46530 Phone: 574-247-4071 Fax: 574-204-2192 | |
Lauren Clevenger, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 430 E Cleveland Rd, Granger, IN 46530 Phone: 574-271-3305 | |
Amy R. Kendall, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 52160 Fieldstone Ln, Granger, IN 46530 Phone: 574-315-3351 Fax: 574-272-1935 | |
Sharon Lee Quaco, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 430 West Cleveland Road, Apt.b23, Granger, IN 46530 Phone: 574-243-9640 Fax: 574-243-9640 | |
Brent W Schierbeek, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3221 Beacon Pkwy Ste 100, Granger, IN 46530 Phone: 574-647-2930 Fax: 574-647-2935 | |
Amanda Ann Chilcote, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6330 N Fir Rd, Granger, IN 46530 Phone: 574-217-0609 | |
Mr. Anil Kumar Arora, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15439 Regis Ct, Granger, IN 46530 Phone: 574-273-2191 |