Marcie L Ganson, PT, DPT, MBA is a
Physical Therapist based in Havana, Illinois. Marcie L Ganson is licensed to practice in Illinois (license number 070.011155) and her current practice location is
615 N Promenade St, Havana, Illinois. She can be reached at her office (for appointments etc.) via phone at
(309) 543-8578.
NPI number for Marcie L Ganson is 1992068027 and her current mailing address is 615 N Promenade St, Po Box 530, Havana, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992068027.
Healthcare Provider's Profile
Full Name | Marcie L Ganson |
---|
Gender | Female |
---|
Speciality | Physical Therapist |
---|
Location | 615 N Promenade St, Havana, Illinois |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1992068027
- Provider Enumeration Date: 06/22/2012
- Last Update Date: 06/27/2012
Medical Identifiers
Medical identifiers for Marcie L Ganson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992068027 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 070.011155 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marcie L Ganson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Marcie L Ganson, PT, DPT, MBA 615 N Promenade St, Po Box 530, Havana, IL 62644-1243 Ph: (309) 543-8578 | Marcie L Ganson, PT, DPT, MBA 615 N Promenade St, Havana, IL 62644-1243 Ph: (309) 543-8578 |
Reviews and Comments