Mrs Diane Jean Mccormack, MS, OTR/L - Occupational Therapist in Detroit Lakes, MN

Mrs Diane Jean Mccormack, MS, OTR/L is a Occupational Therapist - Pediatrics based in Detroit Lakes, Minnesota. Mrs Diane Jean Mccormack is licensed to practice in Minnesota (license number 100296) and her current practice location is 15840 Long Lake Road, Detroit Lakes, Minnesota. She can be reached at her office (for appointments etc.) via phone at (218) 847-5071.

NPI number for Mrs Diane Jean Mccormack is 1063657120 and her current mailing address is P.o. Box 1382, Detroit Lakes, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063657120.

Contact Information

Mrs Diane Jean Mccormack, MS, OTR/L
15840 Long Lake Road,
Detroit Lakes, MN 56501
(218) 847-5071
Not Available



Healthcare Provider's Profile

Full NameMrs Diane Jean Mccormack
GenderFemale
SpecialityOccupational Therapist - Pediatrics
Location15840 Long Lake Road, Detroit Lakes, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063657120
  • Provider Enumeration Date: 12/03/2008
  • Last Update Date: 12/03/2008

Medical Identifiers

Medical identifiers for Mrs Diane Jean Mccormack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063657120NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225XP0200XOccupational Therapist - Pediatrics 100296 (Minnesota)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. Mrs Diane Jean Mccormack 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 AddressPractice Location Address
Mrs Diane Jean Mccormack, MS, OTR/L
P.o. Box 1382,
Detroit Lakes, MN 56502

Ph: (218) 234-1302
Mrs Diane Jean Mccormack, MS, OTR/L
15840 Long Lake Road,
Detroit Lakes, MN 56501

Ph: (218) 847-5071

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› Verified 9 days ago


Occupational Therapist in Detroit Lakes, MN

Melissa M Hoffman,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501
Phone: 218-847-5611    
Michele Joanne Knoblich, OT
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501
Phone: 218-847-5611    
Ms. Kelly J Soyring, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 18580 Totland Rd, Detroit Lakes, MN 56501
Phone: 955-955-2218    
Julie Ann Nodsle, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 803 Roosevelt Ave, # 301, Detroit Lakes, MN 56501
Phone: 218-844-5555    Fax: 218-844-6057
Abbe Kaiser,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1415 Madison Ave, Detroit Lakes, MN 56501
Phone: 218-847-4486    
Nancy Darcy D Olson, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 125 Frazee St E, Detroit Lakes, MN 56501
Phone: 218-844-2300    Fax: 218-844-2444

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