Alissa Deardorff, OTR/L in Maple Grove, MN - Medicare Occupational Therapist Provider

Alissa Deardorff, OTR/L is a medicare enrolled "Occupational Therapist - Pediatrics" provider in Maple Grove, Minnesota. Her current practice location is 15301 Grove Cir N, Maple Grove, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 993-5900.

Alissa Deardorff is licensed to practice in * (Not Available) (license number ) 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 1528693785.

Contact Information

	Alissa Deardorff, OTR/L
	15301 Grove Cir N, Maple Grove, MN 55369-4475
	(952) 993-5900
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Alissa Deardorff
Gender	Female
Speciality	Occupational Therapist - Pediatrics
Location	15301 Grove Cir N, Maple Grove, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528693785
Provider Enumeration Date: 03/09/2020
Last Update Date: 01/04/2023

Medicare PECOS Information:

PECOS PAC ID: 4082045745
Enrollment ID: I20200513000027

Medical Identifiers

Medical identifiers for Alissa Deardorff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528693785	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225XP0200X	Occupational Therapist - Pediatrics	(* (Not Available))	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. Alissa Deardorff allows following entities to bill medicare on her behalf.

Provider Name	Park Nicollet Clinic
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046

Provider Name	Family Speech & Therapy Services Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1235285966 PECOS PAC ID: 8022335397 Enrollment ID: O20150325001650

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. Alissa Deardorff 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
Alissa Deardorff, OTR/L 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () -	Alissa Deardorff, OTR/L 15301 Grove Cir N, Maple Grove, MN 55369-4475 Ph: (952) 993-5900

Reviews and Comments

Occupational Therapist in Maple Grove, MN

Ms. Renee Haroldson, OTRL CHT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 14500 99th Ave N, #1-210, Maple Grove, MN 55369 Phone: 763-898-1778 Fax: 763-898-1771
Jennifer Alders, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 6936 Garland Ln N, Maple Grove, MN 55311 Phone: 763-416-9313 Fax: 763-416-4530
Mark A Narveson, O.T. Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 7767 Elm Creek Blvd N Ste 160, Maple Grove, MN 55369 Phone: 763-201-8191
Heather Renee Elder, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 7767 Elm Creek Blvd N Ste 160, Maple Grove, MN 55369 Phone: 763-201-8191 Fax: 763-201-8192
Mrs. Cheryl Anne Salim, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 16500 92nd Ave N, Maple Grove, MN 55311 Phone: 763-493-5910
Megan Kay Holmgren, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6936 Garland Ln N, Maple Grove, MN 55311 Phone: 763-416-9313
Inga Rohde, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 11100 86th Ave N, Maple Grove, MN 55369 Phone: 763-755-4275

Alissa Deardorff, OTR/L - Medicare Occupational Therapist in Maple Grove, MN