| Marcia Jeddrie, OTR/L, CLT, MT | |
|
7000 Spyglass Ct, Suite 120, Viera, FL 32940 | |
| (321) 241-6543 | |
| (321) 241-6513 |
| Full Name | Marcia Jeddrie |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 27 Years |
| Location | 7000 Spyglass Ct, Viera, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285034868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT 12356 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Space Coast Lymphedema Clinic Llc | 9638495724 | 3 |
| Provider Name | Space Coast Lymphedema Clinic Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1477959856 PECOS PAC ID: 9638495724 Enrollment ID: O20150402000843 |
| Mailing Address | Practice Location Address |
|---|---|
| Marcia Jeddrie, OTR/L, CLT, MT 7000 Spyglass Ct, Suite 120, Viera, FL 32940 Ph: (321) 241-6543 | Marcia Jeddrie, OTR/L, CLT, MT 7000 Spyglass Ct, Suite 120, Viera, FL 32940 Ph: (321) 241-6543 |
Simone Bensimon, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2565 Judge Fran Jamieson Way, Viera, FL 32940 Phone: 321-432-2575 Fax: 321-504-0955 | |
Regina Wells, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7000 Spyglass Ct, Viera, FL 32940 Phone: 321-241-6543 Fax: 321-241-6513 | |
Banta Therapy Incorporated Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2565 Judge Fran Jamieson Way, Viera, FL 32940 Phone: 321-446-2742 | |
Space Coast Lymphedema Clinic Llc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 7000 Spyglass Ct., Suite 120, Viera, FL 32940 Phone: 321-241-6543 Fax: 321-241-6513 | |
Mrs. Linda B Schuneman, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7000 Spyglass Ct, Suite 120, Viera, FL 32940 Phone: 321-241-6543 Fax: 321-241-6513 | |
Roxanne Rizzo, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2565 Judge Fran Jamieson Way, Viera, FL 32940 Phone: 321-362-8919 Fax: 321-504-0955 |