| Jacqueline Renee Hernandez, | |
|
1 Parklane Blvd Ste 200e, Dearborn, MI 48126-2400 | |
| (313) 846-2606 | |
| Not Available |
| Full Name | Jacqueline Renee Hernandez |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1 Parklane Blvd Ste 200e, Dearborn, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891429205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 5201002513 (Michigan) | Primary |
| Provider Name | Psygenics Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1669736104 PECOS PAC ID: 9436465820 Enrollment ID: O20150831002063 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Renee Hernandez, 27085 Gratiot Ave, Roseville, MI 48066-2984 Ph: (586) 204-5560 | Jacqueline Renee Hernandez, 1 Parklane Blvd Ste 200e, Dearborn, MI 48126-2400 Ph: (313) 846-2606 |
Ms. Samantha Baker, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 22731 Newmand Street, Suite 100b, Dearborn, MI 48124 Phone: 313-791-0616 | |
Calleigh-reese Coffin, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Parklane Blvd Ste E200, Dearborn, MI 48126 Phone: 586-204-5560 | |
Adrienna Bartnicki, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3101 S Gulley Rd Ste F-g, Dearborn, MI 48124 Phone: 734-407-2500 | |
Ms. Melanie Ward, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 20469 Outer Dr, Dearborn, MI 48124 Phone: 734-282-2100 | |
Rachel E Basile, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7760 | |
Taylor Pauline Talbot, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3101 S Gulley Rd Ste F, Dearborn, MI 48124 Phone: 734-407-2500 Fax: 313-792-8962 | |
Nicole Renee Colleran, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 18501 Rotunda Dr Ste 100, Dearborn, MI 48124 Phone: 313-996-1951 |