Stacey Sweet Graves, OTR/L | |
214 King Street, Ogdensburg, NY 13669-1142 | |
(315) 713-5660 | |
(315) 393-0055 |
Full Name | Stacey Sweet Graves |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 214 King Street, Ogdensburg, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093881450 | NPI | - | NPPES |
02837254 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 014377 (New York) | Primary |
Provider Name | Claxton-hepburn Medical Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1891753034 PECOS PAC ID: 8426966508 Enrollment ID: O20031110000552 |
Mailing Address | Practice Location Address |
---|---|
Stacey Sweet Graves, OTR/L 214 King Street, Ogdensburg, NY 13669-1142 Ph: (315) 713-5660 | Stacey Sweet Graves, OTR/L 214 King Street, Ogdensburg, NY 13669-1142 Ph: (315) 713-5660 |
Mr. Jonathan Cheung, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 431 State Street, Unit 564, Ogdensburg, NY 13669 Phone: 218-240-1751 | |
Taylor Mclear, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Ford St, Ogdensburg, NY 13669 Phone: 315-394-0657 | |
Elizabeth Thomas, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 221 Hamilton St, Ogdensburg, NY 13669 Phone: 315-393-3074 | |
Ms. Alycia Marie Dezell, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8101 State Highway 68, Ogdensburg, NY 13669 Phone: 315-393-3070 Fax: 315-393-3014 |