MEDICARE: MR. ERIC S. BELUSKO MHS, OTR/L, CHT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XH1200X	Hand Occupational Therapist	2951	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	52887554-001	OTHER	GA	BCBS

General Provider Information

NPI Number	:	1134111982
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ERIC S. BELUSKO MHS, OTR/L, CHT

Provider Business Mailing Address
First Line	:	2410 DAWSON RD
Second Line	:
City	:	ALBANY
State	:	GA
Zip	:	31707-2370
Country	:	US
Telephone Number	:	229-432-1397
Fax Number	:	229-432-5467

Provider Business Practice Location Address
First Line	:	709A N WESTOVER BLVD
Second Line	:
City	:	ALBANY
State	:	GA
Zip	:	31707-1401
Country	:	US
Telephone Number	:	229-446-2333
Fax Number	:	229-446-7733

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	11/03/2020

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