| Micah Jane Mcholland, OTR/L | |
|
205 Tyler Ct, Mount Vernon, MO 65712-7845 | |
| (573) 822-0685 | |
| Not Available |
| Full Name | Micah Jane Mcholland |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 5 Years |
| Location | 205 Tyler Ct, Mount Vernon, Missouri |
| 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 |
|---|---|---|---|
| 1043967037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 2022005834 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Empowerme Rehabilitation Missouri Llc | 9234402470 | 155 |
| Provider Name | Empowerme Rehabilitation Missouri Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1417479494 PECOS PAC ID: 9234402470 Enrollment ID: O20170908002930 |
| Provider Name | Empowerme Wellness Kansas City Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083208391 PECOS PAC ID: 9830504836 Enrollment ID: O20210308002804 |
| Mailing Address | Practice Location Address |
|---|---|
| Micah Jane Mcholland, OTR/L 205 Tyler Ct, Mount Vernon, MO 65712-7845 Ph: (573) 822-0685 | Micah Jane Mcholland, OTR/L 205 Tyler Ct, Mount Vernon, MO 65712-7845 Ph: (573) 822-0685 |
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