Ms Mary Beth Merola, OTR | |
631 Buena Fortuna Cir, Atascadero, CA 93422-8860 | |
(805) 886-3717 | |
Not Available |
Full Name | Ms Mary Beth Merola |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 631 Buena Fortuna Cir, Atascadero, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134346208 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 10541 (California) | Primary |
Provider Name | Aegis Group Practice Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1649933441 PECOS PAC ID: 5193036432 Enrollment ID: O20211229002141 |
Mailing Address | Practice Location Address |
---|---|
Ms Mary Beth Merola, OTR Po Box 5015, San Luis Obispo, CA 93403-5015 Ph: (805) 886-3717 | Ms Mary Beth Merola, OTR 631 Buena Fortuna Cir, Atascadero, CA 93422-8860 Ph: (805) 886-3717 |
Mrs. Lara C Kirkpatrick, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6895 Morro Rd, Atascadero, CA 93422 Phone: 805-637-0802 | |
Morgan Zion, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6895 Morro Rd, Atascadero, CA 93422 Phone: 805-464-2133 | |
Kathy Runge, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10333 El Camino Real, Atascadero, CA 93422 Phone: 805-468-3716 Fax: 805-468-3737 | |
Adriaana Olson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6965 San Luis Ave, Atascadero, CA 93422 Phone: 805-591-7188 | |
Julie Donahoo, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6965 San Luis Ave, Atascadero, CA 93422 Phone: 805-591-7188 | |
Drusilla Potts, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6965 San Luis Ave, Atascadero, CA 93422 Phone: 805-591-7188 |