Steven Mortrud, MOT | |
127 W Broad St Ste 850, Lake Charles, LA 70601-4394 | |
(337) 310-8500 | |
Not Available |
Full Name | Steven Mortrud |
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Gender | Male |
Speciality | Occupational Therapist |
Location | 127 W Broad St Ste 850, Lake Charles, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528815156 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 341189 (Louisiana) | Primary |
Provider Name | Synergy Care Southeast, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1891156055 PECOS PAC ID: 6204079163 Enrollment ID: O20160722001624 |
Mailing Address | Practice Location Address |
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Steven Mortrud, MOT 21342 Parker Drive, Mandeville, LA 70471-7610 Ph: () - | Steven Mortrud, MOT 127 W Broad St Ste 850, Lake Charles, LA 70601-4394 Ph: (337) 310-8500 |
Danielle Nester Faulk, MOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 208 W Mcneese St, Lake Charles, LA 70605 Phone: 337-475-1053 Fax: 337-475-1048 | |
Megan Bercier, LOTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 524 Dr Michael Debakey Dr, Lake Charles, LA 70601 Phone: 337-491-7590 | |
Mr. Gerald Jules Declouet Jr., LOTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4190 Gerstner Memorial Blvd, Lake Charles, LA 70607 Phone: 337-240-9730 | |
Erin Elizabeth Bradley, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2519 Ryan St, Lake Charles, LA 70601 Phone: 337-491-0800 | |
Susan Helms Cart, OT Occupational Therapist Medicare: May Accept Medicare Assignments Practice Location: 1747 Imperial Blvd, Lake Charles, LA 70605 Phone: 337-721-7280 Fax: 337-478-1323 | |
Traci Winborne, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 208 W Mcneese St, Lake Charles, LA 70605 Phone: 337-475-1053 | |
Jennifer Marie Doucet, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 845 Desoto St, Lake Charles, LA 70607 Phone: 337-764-0343 |