Eric Victor Pagano, OTR/L | |
400 Enterprise Dr Fl 2, Royersford, PA 19468-1218 | |
(800) 321-9999 | |
Not Available |
Full Name | Eric Victor Pagano |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 400 Enterprise Dr Fl 2, Royersford, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891428520 | NPI | - | NPPES |
731432722 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 46TR01066700 (New Jersey) | Secondary |
225X00000X | Occupational Therapist | OC020677 (Pennsylvania) | Primary |
Provider Name | Brielle Integrated Healthcare Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1962915504 PECOS PAC ID: 5395003602 Enrollment ID: O20171214001060 |
Mailing Address | Practice Location Address |
---|---|
Eric Victor Pagano, OTR/L 2030 Corning Rd, Palm, PA 18070-1019 Ph: (856) 873-2043 | Eric Victor Pagano, OTR/L 400 Enterprise Dr Fl 2, Royersford, PA 19468-1218 Ph: (800) 321-9999 |
Teresa Ann Miller, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 46 Kendall Ln, Royersford, PA 19468 Phone: 610-792-2420 | |
The Sensory Center, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 368 Walnut St, Royersford, PA 19468 Phone: 717-271-6186 | |
Mr. Kwok S Wong, MA, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4 Dorothy Cir, Royersford, PA 19468 Phone: 610-792-3681 | |
Cory Carbone, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 500 Deer Run Ct, Royersford, PA 19468 Phone: 610-505-1472 |