Mr Bruce M O'dell, LOTR | |
3446 Masonic Dr, Alexandria, LA 71301-3615 | |
(318) 880-0058 | |
(318) 880-0059 |
Full Name | Mr Bruce M O'dell |
---|---|
Gender | Male |
Speciality | Occupational Therapy |
Experience | 26 Years |
Location | 3446 Masonic Dr, Alexandria, Louisiana |
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 |
---|---|---|---|
1851342422 | NPI | - | NPPES |
Z11902 | Other | LA | OCCUPATIONAL THERAPY LIC# |
P00474235 | Other | LA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | Z11902 (Louisiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Elite Physical Therapy Group Ii Llc | 8426466293 | 15 |
Provider Name | Elite Physical Therapy Group Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1710939947 PECOS PAC ID: 8022903764 Enrollment ID: O20040220000225 |
Provider Name | Injury Management Services Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1962454108 PECOS PAC ID: 9830102367 Enrollment ID: O20060728000180 |
Provider Name | Elite Physical Therapy Group Ii Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1649859927 PECOS PAC ID: 8426466293 Enrollment ID: O20210415000542 |
Mailing Address | Practice Location Address |
---|---|
Mr Bruce M O'dell, LOTR 3446 Masonic Dr, Alexandria, LA 71301-3615 Ph: (318) 880-0058 | Mr Bruce M O'dell, LOTR 3446 Masonic Dr, Alexandria, LA 71301-3615 Ph: (318) 880-0058 |
Elizebette Ceronio, PT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5505 Mildred Ave, Alexandria, LA 71301 Phone: 318-473-2270 | |
Ms. Cheryl B Moreau, L.O.T.R. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2495 Shreveport Highway, Alexandria, LA 71306 Phone: 318-473-0010 Fax: 318-483-5060 | |
Ms. Susie Twidwell, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2006 Gus Kaplan Dr, Alexandria, LA 71301 Phone: 318-487-5020 | |
Christopher Guy Carey, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 224 Pecan Park Ave, Alexandria, LA 71303 Phone: 318-427-7852 Fax: 318-443-5372 | |
Thrive Pediatric Center Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1015 Bayou Place, Alexandria, LA 71303 Phone: 318-613-9384 | |
Ms. Angie Tomlin, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2006 Gus Kaplan Dr, Alexandria, LA 71301 Phone: 318-487-5020 | |
Mrs. Melinda S Bayonne, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 224 Pecan Park Ave, Alexandria, LA 71303 Phone: 318-427-7852 Fax: 318-443-5372 |