| Mary R Vanravenhorst, OTR/L | |
|
150 St. Andrews Court, Suite 310, Mankato, MN 56001 | |
| (507) 388-5437 | |
| (507) 388-2108 |
| Full Name | Mary R Vanravenhorst |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 29 Years |
| Location | 150 St. Andrews Court, Mankato, Minnesota |
| 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 |
|---|---|---|---|
| 1164493144 | NPI | - | NPPES |
| 15F11VA | Other | MN | BCBS INDIV PROVIDER # |
| 6411283 | Other | MN | MEDICA INDIV PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 101743 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mankato Clinic Ltd | 5597677955 | 221 |
| Provider Name | Mankato Clinic Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1629044029 PECOS PAC ID: 5597677955 Enrollment ID: O20031104000231 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary R Vanravenhorst, OTR/L 150 St. Andrews Court, Suite 310, Mankato, MN 56001 Ph: (507) 388-5437 | Mary R Vanravenhorst, OTR/L 150 St. Andrews Court, Suite 310, Mankato, MN 56001 Ph: (507) 388-5437 |
Sara Elizabeth Sieberg, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 150 Saint Andrews Ct Ste 310, Mankato, MN 56001 Phone: 507-388-5437 | |
Julia Marie Trnka, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
Alisa Heiling, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 Saint Andrews Ct Ste 310, Mankato, MN 56001 Phone: 507-388-5437 | |
Jennifer Lynn Tourville, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-386-2600 | |
Mrs. Carolyn Schmidt Penning, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2132 Hoffman Rd, Mankato, MN 56001 Phone: 507-386-7401 Fax: 507-386-1379 | |
Melissa Hokeness I, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 Saint Andrews Ct, Suite 310, Mankato, MN 56001 Phone: 507-388-2108 | |
Megan Rose Menke, OTD Occupational Therapist Medicare: May Accept Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-1811 |