Out Of Knowhere Pllc is a medicare enrolled "Occupational Therapist" provider in White Hall, Arkansas. Their current practice location is
7500 Dollarway Rd, Suite 301, White Hall, Arkansas. You can reach out to their office (for appointments etc.) via phone at
(870) 329-9626.
Out Of Knowhere Pllc is licensed to practice in Arkansas (license number OTR 1983) and it also participates in the medicare program. Out Of Knowhere Pllc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1770899122.
Healthcare Provider's Profile
| Full Name | Out Of Knowhere Pllc |
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| Type | Facility |
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| Speciality | Occupational Therapist |
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| Location | 7500 Dollarway Rd, White Hall, Arkansas |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1770899122
- Provider Enumeration Date: 08/24/2010
- Last Update Date: 08/24/2010
Medicare PECOS Information:
- PECOS PAC ID: 5799970455
- Enrollment ID: O20101109000022
Medical Identifiers
Medical identifiers for Out Of Knowhere Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770899122 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | 6052 (Arkansas) | Secondary |
| 225X00000X | Occupational Therapist | OTR 1983 (Arkansas) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Out Of Knowhere Pllc acts as a billing entity for following providers:
| Provider Name | Cedric Watts |
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| Provider Type | Practitioner - Occupational Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1245463769
PECOS PAC ID: 4789879446
Enrollment ID: I20101109000054 |
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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. Out Of Knowhere Pllc 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 |
|---|
Out Of Knowhere Pllc
3902 S Fir St,
Pine Bluff, AR 71603-6233
Ph: (870) 329-9626 | Out Of Knowhere Pllc
7500 Dollarway Rd, Suite 301,
White Hall, AR 71602-3027
Ph: (870) 329-9626 |
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