Micah Caudle, OTR/L | |
1223 Willow Creed Rd, Prescott, AZ 86301-1427 | |
(928) 777-9950 | |
(928) 777-9975 |
Full Name | Micah Caudle |
---|---|
Gender | Male |
Speciality | Occupational Therapy |
Experience | 11 Years |
Location | 1223 Willow Creed Rd, Prescott, Arizona |
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 |
---|---|---|---|
1366866295 | NPI | - | NPPES |
083794 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 5674 (Arizona) | Primary |
225XH1200X | Occupational Therapist - Hand | 14-0450 (Nevada) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Granite Orthopaedics, Pllc. | 6305025669 | 12 |
Provider Name | Arizona Hand And Physical Rehab Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1659549194 PECOS PAC ID: 6800971441 Enrollment ID: O20080307000023 |
Provider Name | Granite Orthopaedics, Pllc. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1831408384 PECOS PAC ID: 6305025669 Enrollment ID: O20110119000954 |
Mailing Address | Practice Location Address |
---|---|
Micah Caudle, OTR/L 1223 Willow Creek Rd, Prescott, AZ 86301-1427 Ph: (928) 777-9950 | Micah Caudle, OTR/L 1223 Willow Creed Rd, Prescott, AZ 86301-1427 Ph: (928) 777-9950 |
Allison Anne Allen, OT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3160 Stillwater Dr, Prescott, AZ 86305 Phone: 928-925-0553 Fax: 928-776-7753 | |
Haley Ruth, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 N Us Highway 89, Prescott, AZ 86313 Phone: 603-731-4804 | |
Pediatrics In The Pines Occupational Therapy Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 242 Whipple St Ste 1, Prescott, AZ 86301 Phone: 623-693-4064 | |
Prescott Pediatric Occupational Therapy; Second Sight Vision Rehab Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 340 N Mount Vernon Ave, Prescott, AZ 86301 Phone: 928-771-2406 Fax: 928-771-9519 | |
Jessica Rachel Norris, MOT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1045 Whipple St, Prescott, AZ 86305 Phone: 928-777-9897 Fax: 928-717-0019 | |
Ms. Deeann Louise Lett Neal, OTR L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3105 Clearwater Dr Ste B, Prescott, AZ 86305 Phone: 928-776-4349 Fax: 928-776-4369 | |
Valerie Williams, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 926 S. Hinman Dr., Prescott, AZ 86305 Phone: 928-717-3236 |