Ms Stacia Givens, is a medicare enrolled "Occupational Therapist" provider in Port Townsend, Washington. Her current practice location is
1233 Lawrence St Ste 102, Port Townsend, Washington. You can reach out to her office (for appointments etc.) via phone at
(065) 708-5588.
Ms Stacia Givens is licensed to practice in Washington (license number OT60138440) 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 1972970416.
Healthcare Provider's Profile
| Full Name | Ms Stacia Givens |
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| Gender | Female |
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| Speciality | Occupational Therapist |
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| Location | 1233 Lawrence St Ste 102, Port Townsend, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1972970416
- Provider Enumeration Date: 09/01/2015
- Last Update Date: 08/07/2020
Medicare PECOS Information:
- PECOS PAC ID: 7517384183
- Enrollment ID: I20200827000840
Medical Identifiers
Medical identifiers for Ms Stacia Givens such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972970416 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225700000X | Massage Therapist | MA60633997 (Washington) | Secondary |
| 225X00000X | Occupational Therapist | OT60138440 (Washington) | 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. Ms Stacia Givens allows following entities to bill medicare on her behalf.
| Provider Name | Amy L Mara |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1700804481
PECOS PAC ID: 7315943545
Enrollment ID: I20181105001612 |
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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. Ms Stacia Givens 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 |
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Ms Stacia Givens,
Po Box 536,
Port Townsend, WA 98368-0536
Ph: (806) 570-8558 | Ms Stacia Givens,
1233 Lawrence St Ste 102,
Port Townsend, WA 98368-6554
Ph: (065) 708-5588 |
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