| Ericka Eades, OT | |
|
3767 Delaware Ave, Kenmore, NY 14217-1040 | |
| (716) 874-6175 | |
| Not Available |
| Full Name | Ericka Eades |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 3767 Delaware Ave, Kenmore, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699477836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 0119009654 (Virginia) | Secondary |
| 225X00000X | Occupational Therapist | 029425 (New York) | Primary |
| Provider Name | University Of Virginia Physicians Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1033138250 PECOS PAC ID: 4880590728 Enrollment ID: O20040102000780 |
| Mailing Address | Practice Location Address |
|---|---|
| Ericka Eades, OT 3767 Delaware Ave, Kenmore, NY 14217-1040 Ph: (716) 874-6175 | Ericka Eades, OT 3767 Delaware Ave, Kenmore, NY 14217-1040 Ph: (716) 874-6175 |
Molly Kathleen Ryan, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3767 Delaware Ave, Kenmore, NY 14217 Phone: 716-874-6175 | |
Shanli Latulip, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3767 Delaware Ave, Kenmore, NY 14217 Phone: 716-874-6175 | |
Nicole Giliforte, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3767 Delaware Ave, Kenmore, NY 14217 Phone: 716-874-6175 | |
Mrs. Amanda M Morton, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3767 Delaware Ave, Kenmore, NY 14217 Phone: 716-874-6175 | |
Samantha Gaffney, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3767 Delaware Ave, Kenmore, NY 14217 Phone: 716-874-6175 | |
Renee Reinberg, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2900 Delaware Ave, Kenmore, NY 14217 Phone: 716-871-9883 | |
Jenna Desiderio, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3767 Delaware Ave, Kenmore, NY 14217 Phone: 716-874-6175 |