Angela M Bronestine, MOT, OTR/L is a medicare enrolled "Occupational Therapist" provider in Edina, Missouri. Her current practice location is
55774 Mo-6, Edina, Missouri. You can reach out to her office (for appointments etc.) via phone at
(660) 397-2282.
Angela M Bronestine is licensed to practice in Illinois (license number 056009307) 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 1962840777.
Healthcare Provider's Profile
| Full Name | Angela M Bronestine |
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| Gender | Female |
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| Speciality | Occupational Therapist |
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| Location | 55774 Mo-6, Edina, Missouri |
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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: 1962840777
- Provider Enumeration Date: 06/13/2013
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 0042683005
- Enrollment ID: I20230222002637
Medical Identifiers
Medical identifiers for Angela M Bronestine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1962840777 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | 056009307 (Illinois) | 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. Angela M Bronestine allows following entities to bill medicare on her behalf.
| Provider Name | Midwest Physical Therapy Pc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1144389677
PECOS PAC ID: 9335190339
Enrollment ID: O20140917001266 |
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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. Angela M Bronestine 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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Angela M Bronestine, MOT, OTR/L
720 Sycamore St,
Quincy, IL 62301-1639
Ph: () - | Angela M Bronestine, MOT, OTR/L
55774 Mo-6,
Edina, MO 63537
Ph: (660) 397-2282 |
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