Simon Robert Kasper, | |
4152 30th Ave S, Fargo, ND 58104-8524 | |
(701) 364-9070 | |
Not Available |
Full Name | Simon Robert Kasper |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 4152 30th Ave S, Fargo, North Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952029415 | NPI | - | NPPES |
1969 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 1969 (North Dakota) | Primary |
Provider Name | Anne Carlsen Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1598930109 PECOS PAC ID: 1557687274 Enrollment ID: O20150224000181 |
Mailing Address | Practice Location Address |
---|---|
Simon Robert Kasper, 701 3rd St Nw, Jamestown, ND 58401-2963 Ph: (701) 252-3850 | Simon Robert Kasper, 4152 30th Ave S, Fargo, ND 58104-8524 Ph: (701) 364-9070 |
Ms. Kathleen Sayler, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6681 56th Ave S, Fargo, ND 58104 Phone: 701-361-9622 | |
Leslie Anne Myer, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 Fax: 701-364-8078 | |
Mrs. Shauna R Nelson, OTR/L, CLT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1711 Gold Dr S Ste 120, Fargo, ND 58103 Phone: 701-451-9417 | |
Jeremiah Otteson, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2301 25th St S, Fargo, ND 58103 Phone: 701-417-6222 | |
Kayla Brottlund, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 University Dr S, Fargo, ND 58103 Phone: 701-239-3000 | |
Karlene Renae Nelson, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 3060 Frontier Way S, Fargo, ND 58104 Phone: 701-232-2340 | |
Mrs. Shannon Pfau, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1720 University Dr S, Fargo, ND 58103 Phone: 701-417-5500 Fax: 701-540-0098 |