| Alexis Anne Jackson, | |
|
525 Bentee Wes Ct, Evansville, IN 47715-4071 | |
| (812) 618-3389 | |
| Not Available |
| Full Name | Alexis Anne Jackson |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 525 Bentee Wes Ct, Evansville, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043075518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 31005196A (Indiana) | Primary |
| Provider Name | Paragon Outpatient Rehabilitation Services, Llc |
|---|---|
| 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 |
|---|---|
| Alexis Anne Jackson, 303 N Hurstbourne Pkwy Ste 200, Louisville, KY 40222-5158 Ph: () - | Alexis Anne Jackson, 525 Bentee Wes Ct, Evansville, IN 47715-4071 Ph: (812) 618-3389 |
Miss Sarah Rains, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 136 Avenida Las Brisas, Evansville, IN 47712 Phone: 618-676-5057 | |
Paul Revere Fletcher Iii, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5050 Lincoln Ave, Evansville, IN 47715 Phone: 844-553-0199 | |
Taylor Winiger, COTA Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4900 Shamrock Dr Ste 100-102, Evansville, IN 47715 Phone: 812-479-7337 | |
Grady Wilkinson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 714 S Eickhoff Rd, Evansville, IN 47712 Phone: 812-985-9878 | |
Ms. Vicki June Camilla, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 25 S Boehne Camp Rd, Evansville, IN 47712 Phone: 812-423-7468 | |
Teri Newmaster, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 N Rosenberger Ave, Evansville, IN 47712 Phone: 812-491-3856 | |
Mrs. Brooke E Barkley, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 515 Read St, Evansville, IN 47710 Phone: 812-437-1420 Fax: 812-437-1425 |