Dr Marissa Rose Oxenford, DPT is a medicare enrolled "Physical Therapist" physician in Philadelphia, Pennsylvania. Her current practice location is
3509 N Broad St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(215) 707-2111.
Dr Marissa Rose Oxenford is licensed to practice in Pennsylvania (license number PT023793) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1164821062.
Physician's Profile
Full Name | Dr Marissa Rose Oxenford |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 3509 N Broad St, Philadelphia, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1164821062
- Provider Enumeration Date: 08/15/2014
- Last Update Date: 11/02/2017
Medicare PECOS Information:
- PECOS PAC ID: 1658649892
- Enrollment ID: I20170613000686
Medical Identifiers
Medical identifiers for Dr Marissa Rose Oxenford such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164821062 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | PT023793 (Pennsylvania) | Secondary |
225100000X | Physical Therapist | PT023793 (Pennsylvania) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Marissa Rose Oxenford allows following entities to bill medicare on her behalf.
Entity Name | Progress Physical Therapy Llc |
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Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Entity Identifiers | NPI Number: 1164851085 PECOS PAC ID: 1951530849 Enrollment ID: O20140219001344 |
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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. Dr Marissa Rose Oxenford is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Marissa Rose Oxenford, DPT 2450 W Hunting Park Ave, Philadelphia, PA 19129-1302 Ph: (215) 707-2111 | Dr Marissa Rose Oxenford, DPT 3509 N Broad St, Philadelphia, PA 19140-4105 Ph: (215) 707-2111 |
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