Ellen Grace-gombar Krause, OTR/L is a
Occupational Therapist based in Kingsley, Michigan. Ellen Grace-gombar Krause is licensed to practice in Michigan (license number 5201009038) and her current practice location is
4040 Beacon St, Kingsley, Michigan. She can be reached at her office (for appointments etc.) via phone at
(231) 263-1350.
NPI number for Ellen Grace-gombar Krause is 1790229953 and her current mailing address is 4040 Beacon St, Kingsley, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790229953.
Healthcare Provider's Profile
| Full Name | Ellen Grace-gombar Krause |
|---|
| Gender | Female |
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| Speciality | Occupational Therapist |
|---|
| Location | 4040 Beacon St, Kingsley, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790229953
- Provider Enumeration Date: 12/07/2016
- Last Update Date: 04/06/2021
Medical Identifiers
Medical identifiers for Ellen Grace-gombar Krause such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1790229953 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225X00000X | Occupational Therapist | 5201009038 (Michigan) | 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. Ellen Grace-gombar Krause 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 |
Ellen Grace-gombar Krause, OTR/L 4040 Beacon St, Kingsley, MI 49649-9548 Ph: (231) 263-1350 | Ellen Grace-gombar Krause, OTR/L 4040 Beacon St, Kingsley, MI 49649-9548 Ph: (231) 263-1350 |
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