Ms Ingrid Susan Nilsson, OTR/L is a
Occupational Therapist based in Metropolis, Illinois. Ms Ingrid Susan Nilsson is licensed to practice in Illinois (license number ) and her current practice location is
2299 Metropolis St, Metropolis, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 524-2634.
NPI number for Ms Ingrid Susan Nilsson is 1013920560 and her current mailing address is 2105 Madison St, Paducah, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013920560.
Healthcare Provider's Profile
| Full Name | Ms Ingrid Susan Nilsson |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 2299 Metropolis St, Metropolis, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1013920560
- Provider Enumeration Date: 08/15/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Ingrid Susan Nilsson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1013920560 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225X00000X | Occupational Therapist | R1879 (Kentucky) | Secondary |
| 225X00000X | Occupational Therapist | 31001703A (Indiana) | Secondary |
| 225X00000X | Occupational Therapist | (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Ingrid Susan Nilsson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Ms Ingrid Susan Nilsson, OTR/L 2105 Madison St, Paducah, KY 42001-3144 Ph: (270) 575-1863 | Ms Ingrid Susan Nilsson, OTR/L 2299 Metropolis St, Metropolis, IL 62960-1320 Ph: (618) 524-2634 |
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