Phillip Ken Smith, OT | |
1500 Associates Dr, Dubuque, IA 52002-2201 | |
(563) 584-4465 | |
(563) 584-4395 |
Full Name | Phillip Ken Smith |
---|---|
Gender | Male |
Speciality | Occupational Therapist - Hand |
Location | 1500 Associates Dr, Dubuque, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689628554 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XH1200X | Occupational Therapist - Hand | 00252 (Iowa) | Primary |
Provider Name | Medical Associates Clinic Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1457300790 PECOS PAC ID: 3870491228 Enrollment ID: O20031223000311 |
Mailing Address | Practice Location Address |
---|---|
Phillip Ken Smith, OT 1500 Associates Dr, Dubuque, IA 52002-2201 Ph: (563) 584-4100 | Phillip Ken Smith, OT 1500 Associates Dr, Dubuque, IA 52002-2201 Ph: (563) 584-4465 |
Kelsey Lange, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4121 Pennsylvania Ave, Dubuque, IA 52002 Phone: 563-583-4003 Fax: 563-583-3408 | |
Dr. Caroline Brondyke, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4121 Pennsylvania Ave, Dubuque, IA 52002 Phone: 563-583-4003 Fax: 563-583-3408 | |
Mrs. Emily Claire Kuhl, MS, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1500 Associates Dr, Dubuque, IA 52002 Phone: 563-584-4465 Fax: 563-584-4395 | |
Mrs. Laura Miller, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4121 Pennsylvania Ave, Dubuque, IA 52002 Phone: 563-583-4003 Fax: 563-583-4737 | |
Jessica Sherman, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4121 Pennsylvania Ave, Dubuque, IA 52002 Phone: 563-583-4003 Fax: 563-583-3408 | |
Catherine Mary Wilhelm, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3131 Hillcrest Rd, Dubuque, IA 52001 Phone: 563-588-1413 | |
Charisse Renee Thompson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4121 Pennsylvania Ave, Dubuque, IA 52002 Phone: 563-583-4003 Fax: 563-583-4737 |