Ms Nicholle Leigh Eisfelder, MS,OT/L,CHT | |
1111 Trinity Lane, Suite 111, Bloomington, IL 61704-3738 | |
(309) 663-6461 | |
(309) 663-5711 |
Full Name | Ms Nicholle Leigh Eisfelder |
---|---|
Gender | Female |
Speciality | Occupational Therapy |
Experience | 27 Years |
Location | 1111 Trinity Lane, Bloomington, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144474321 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 056004933 (Illinois) | Secondary |
225XH1200X | Occupational Therapist - Hand | 056004933 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Carle West Physician Group Inc | 8921420308 | 283 |
Provider Name | Carle West Physician Group Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
Mailing Address | Practice Location Address |
---|---|
Ms Nicholle Leigh Eisfelder, MS,OT/L,CHT 1111 Trinity Lane, Suite 111, Bloomington, IL 61704-3738 Ph: (309) 663-6461 | Ms Nicholle Leigh Eisfelder, MS,OT/L,CHT 1111 Trinity Lane, Suite 111, Bloomington, IL 61704-3738 Ph: (309) 663-6461 |
Innovations Pediatric Therapy, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Yount Dr, Bloomington, IL 61704 Phone: 309-824-7417 | |
Krista Elisabeth Bajjalieh, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2200 E Washington St, Bloomington, IL 61701 Phone: 309-662-3311 | |
Bailey Wilson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2200 E Washington St, Bloomington, IL 61701 Phone: 309-661-6275 | |
Cynthia Johnson, OTR/L, CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2200 East Washington St, Bloomington, IL 61701 Phone: 309-662-3311 | |
Katelyn Ann White, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3024 E Empire St, Bloomington, IL 61704 Phone: 309-556-7900 Fax: 309-556-7928 | |
Ms. Amy Lynn Nelson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3420 |