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 |
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