Annie Jackson, OTR/L in Wyoming, MI - Medicare Occupational Therapist Provider

Annie Jackson, OTR/L is a medicare enrolled "Occupational Therapist" provider in Wyoming, Michigan. Her current practice location is 5722 Metro Way Sw Ste B, Wyoming, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 840-7529.

Annie Jackson 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 1134879422.

Contact Information

	Annie Jackson, OTR/L
	5722 Metro Way Sw Ste B, Wyoming, MI 49519-9524
	(616) 840-7529
	(616) 840-9693

Map and Direction

Healthcare Provider's Profile

Full Name	Annie Jackson
Gender	Female
Speciality	Occupational Therapist
Location	5722 Metro Way Sw Ste B, Wyoming, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134879422
Provider Enumeration Date: 03/28/2022
Last Update Date: 12/22/2023

Medicare PECOS Information:

PECOS PAC ID: 0446601314
Enrollment ID: I20240105000443

Medical Identifiers

Medical identifiers for Annie Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134879422	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	(* (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. Annie Jackson allows following entities to bill medicare on her behalf.

Provider Name	Mary Free Bed Rehabilitation Hospital
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1730133463 PECOS PAC ID: 4587576541 Enrollment ID: O20040116000604

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. Annie Jackson 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
Annie Jackson, OTR/L 235 Wealthy St Se, Grand Rapids, MI 49503-5247 Ph: (616) 840-8000	Annie Jackson, OTR/L 5722 Metro Way Sw Ste B, Wyoming, MI 49519-9524 Ph: (616) 840-7529

Reviews and Comments

Occupational Therapist in Wyoming, MI

Joseph Siojo Tan, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2060 Health Dr Sw, Wyoming, MI 49519 Phone: 616-333-1200
Ms. Michelle Lanore, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2708 Meyer Ave Sw, Wyoming, MI 49519 Phone: 231-531-0672 Fax: 616-965-4803
Mrs. Sharyn Armstrong Coates, MSOTR/L, BCB-PMD Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2093 Health Dr Sw Ste 201, Wyoming, MI 49519 Phone: 616-452-7099
Gastroenterology Associates Of Western Michigan Plc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2093 Health Dr Sw Ste 201, Wyoming, MI 49519 Phone: 616-328-5350 Fax: 616-452-4142
Rachel Lutz, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2060 Health Dr Sw, Wyoming, MI 49519 Phone: 616-333-1200
Amanda Tepastte, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2786 56th St Sw, Wyoming, MI 49418 Phone: 616-261-3960

Annie Jackson, OTR/L - Medicare Occupational Therapist in Wyoming, MI