Amanda Lagerstrom, MOT OTR/L in Idaho Falls, ID - Medicare Occupational Therapist Provider

Amanda Lagerstrom, MOT OTR/L is a medicare enrolled "Occupational Therapist" provider in Idaho Falls, Idaho. Her current practice location is 3715 Woodking Dr, Idaho Falls, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 529-2255.

Amanda Lagerstrom is licensed to practice in Idaho (license number OT-2588) 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 1134848286.

Contact Information

	Amanda Lagerstrom, MOT OTR/L
	3715 Woodking Dr, Idaho Falls, ID 83404-4720
	(208) 529-2255
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amanda Lagerstrom
Gender	Female
Speciality	Occupational Therapist
Location	3715 Woodking Dr, Idaho Falls, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134848286
Provider Enumeration Date: 08/23/2022
Last Update Date: 08/23/2022

Medicare PECOS Information:

PECOS PAC ID: 6608242623
Enrollment ID: I20221017001964

Medical Identifiers

Medical identifiers for Amanda Lagerstrom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134848286	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT-2588 (Idaho)	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. Amanda Lagerstrom allows following entities to bill medicare on her behalf.

Provider Name	Foothills Rehabilitation & Performance Services Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1063829836 PECOS PAC ID: 6406077999 Enrollment ID: O20141027001351

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. Amanda Lagerstrom 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
Amanda Lagerstrom, MOT OTR/L 6070 S 2000 W, Rexburg, ID 83440-4441 Ph: () -	Amanda Lagerstrom, MOT OTR/L 3715 Woodking Dr, Idaho Falls, ID 83404-4720 Ph: (208) 529-2255

Reviews and Comments

Occupational Therapist in Idaho Falls, ID

Brian Lane Olson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 510 E 17th St # 400, Idaho Falls, ID 83404 Phone: 208-589-0807
Mrs. Heidi Maxine Boyle, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3715 Woodking Dr, Idaho Falls, ID 83404 Phone: 208-529-2255
Perry Rex Lords, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1460 Elk Creek Dr, Idaho Falls, ID 83404 Phone: 208-535-1286
Hannah Golden, MOTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1460 Elk Creek, Idaho Falls, ID 83404 Phone: 208-535-1286
Nicole Taylor Kamerman, MOT/R Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3814 Washington Pkwy, Idaho Falls, ID 83404 Phone: 208-360-4584
Aaron Ashton May, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3111 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-0067
Caroline Olivia Menser, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1460 Elk Creek Dr, Idaho Falls, ID 83404 Phone: 208-535-1286

Amanda Lagerstrom, MOT OTR/L - Medicare Occupational Therapist in Idaho Falls, ID