Ayala Nogueira, OTR/L is a medicare enrolled "Occupational Therapist" provider in Hugo, Minnesota. Her current practice location is
4638 Victor Path Ste 100, Hugo, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(651) 407-3777.
Ayala Nogueira is licensed to practice in Minnesota (license number 107202) 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 1558048983.
Healthcare Provider's Profile
Full Name | Ayala Nogueira |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 4638 Victor Path Ste 100, Hugo, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1558048983
- Provider Enumeration Date: 06/28/2023
- Last Update Date: 06/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 1153778493
- Enrollment ID: I20231108002720
Medical Identifiers
Medical identifiers for Ayala Nogueira such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558048983 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225XP0200X | Occupational Therapist - Pediatrics | 107202 (Minnesota) | Secondary |
225X00000X | Occupational Therapist | 107202 (Minnesota) | 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. Ayala Nogueira allows following entities to bill medicare on her behalf.
Provider Name | Kids Abilities, Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1154455616 PECOS PAC ID: 2264749993 Enrollment ID: O20220711000389 |
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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. Ayala Nogueira 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 |
Ayala Nogueira, OTR/L 4800 Centerville Rd Apt 306, Saint Paul, MN 55127-2215 Ph: (404) 977-0258 | Ayala Nogueira, OTR/L 4638 Victor Path Ste 100, Hugo, MN 55038-4732 Ph: (651) 407-3777 |
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