| Mark Mincinski, | |
|
4606 N College Dr, Cheyenne, WY 82009-5456 | |
| (307) 414-8394 | |
| Not Available |
| Full Name | Mark Mincinski |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 32 Years |
| Location | 4606 N College Dr, Cheyenne, Wyoming |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134575574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 633 (Colorado) | Secondary |
| 225X00000X | Occupational Therapist | (Wyoming) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Caring Edge Op Llc | 6406114131 | 44 |
| Provider Name | Caring Edge Op Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1700399359 PECOS PAC ID: 6406114131 Enrollment ID: O20180814002223 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Mincinski, 19580 Scout Ln, Saint Onge, SD 57779-7913 Ph: () - | Mark Mincinski, 4606 N College Dr, Cheyenne, WY 82009-5456 Ph: (307) 414-8394 |
Ms. Jackie Renee Thatcher, O.T.R. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4735 Maple Way, Cheyenne, WY 82009 Phone: 307-635-7605 | |
Erica Kaylynne Strautman, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 903 S Greeley Hwy Ste B, Cheyenne, WY 82007 Phone: 307-634-2109 Fax: 307-683-4005 | |
Kaitlin Brew, MOTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4606 N College Dr, Cheyenne, WY 82009 Phone: 307-414-8394 Fax: 307-316-8125 | |
Amanda Dawn Scott, O.T.R Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5801 Yellowstone Rd, Cheyenne, WY 82009 Phone: 307-638-6100 | |
Sherri Dawn Strohman, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3718 Pioneer Ave, Cheyenne, WY 82001 Phone: 307-630-5274 | |
Angie Lea Crotser, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2360 E Pershing Blvd, Cheyenne, WY 82001 Phone: 307-778-7550 | |
Kenna Lynn Kacillas, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3128 Boxelder Dr, Cheyenne, WY 82001 Phone: 307-634-7901 |