| Susana Chacon, OTR/L | |
|
516 Grant Ave, North Augusta, SC 29841-3632 | |
| (706) 825-2996 | |
| (855) 232-8604 |
| Full Name | Susana Chacon |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 516 Grant Ave, North Augusta, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003039660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT001387 (Georgia) | Primary |
| Provider Name | Functional Pathways Preferred Of Tennessee Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1841561446 PECOS PAC ID: 2860649654 Enrollment ID: O20150213001140 |
| Mailing Address | Practice Location Address |
|---|---|
| Susana Chacon, OTR/L 516 Grant Ave, North Augusta, SC 29841-3632 Ph: (706) 825-2996 | Susana Chacon, OTR/L 516 Grant Ave, North Augusta, SC 29841-3632 Ph: (706) 825-2996 |
Lindsey Oertel, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 350 Austin Graybill Rd, North Augusta, SC 29860 Phone: 803-278-4272 | |
Barbara Banning, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 350 Austin Graybill Rd, North Augusta, SC 29860 Phone: 803-278-4272 | |
Mrs. Jennifer Leigh Huff, MHS, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 350 Austin Graybill Rd, North Augusta, SC 29860 Phone: 803-278-4272 | |
Erika Lynne Key, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 241 Swallow Lake Dr, North Augusta, SC 29841 Phone: 803-441-0149 | |
Kelsey Schettino, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1415 Stephens Rd, North Augusta, SC 29860 Phone: 803-645-8223 | |
Mrs. Jena Clinch Wojcik, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1367 W Martintown Rd Ste 1&2, North Augusta, SC 29860 Phone: 803-617-7523 Fax: 803-386-0362 |