Miss Tracy Renee Haymon, OTR | |
2366 Ellsworth St, Gary, IN 46404-3300 | |
(219) 924-0007 | |
Not Available |
Full Name | Miss Tracy Renee Haymon |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 2366 Ellsworth St, Gary, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215100052 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 31004576A (Indiana) | Primary |
Provider Name | Paragon Outpatient Rehabilitation Services, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1871867325 PECOS PAC ID: 8022272848 Enrollment ID: O20180926000250 |
Mailing Address | Practice Location Address |
---|---|
Miss Tracy Renee Haymon, OTR 2366 Ellsworth St, Gary, IN 46404-3300 Ph: (219) 924-0007 | Miss Tracy Renee Haymon, OTR 2366 Ellsworth St, Gary, IN 46404-3300 Ph: (219) 924-0007 |
Ms. Cvita N Owens, COTA Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6100 Miller Ave, Gary, IN 46403 Phone: 219-427-0196 Fax: 219-427-0197 | |
Carolyn Oros, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 E 21st Ave, Gary, IN 46407 Phone: 219-882-2563 | |
Miss Rosa Marie Smith, BS OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2350 Taft St, Gary, IN 46404 Phone: 219-977-2600 | |
Kathryn Demitroulas, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6100 Miller Ave, Gary, IN 46403 Phone: 219-427-0196 | |
Adult Abilities Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3873 Massachusetts St, Gary, IN 46409 Phone: 219-276-1147 | |
Susan Marie Lick, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6100 Miller Ave, Gary, IN 46403 Phone: 219-427-0196 |