Bailey R Widener, OTR/L in Washington, DC - Medicare Occupational Therapist Provider

Bailey R Widener, OTR/L is a medicare enrolled "Occupational Therapist" provider in Washington, District Of Columbia. Her current practice location is 110 Irving St Nw, Washington, District Of Columbia. You can reach out to her office (for appointments etc.) via phone at (202) 877-6316.

Bailey R Widener is licensed to practice in District Of Columbia (license number OT010001510) 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 1700406824.

Contact Information

	Bailey R Widener, OTR/L
	110 Irving St Nw, Washington, DC 20010-3017
	(202) 877-6316
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Bailey R Widener
Gender	Female
Speciality	Occupational Therapist
Location	110 Irving St Nw, Washington, District Of Columbia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700406824
Provider Enumeration Date: 04/18/2020
Last Update Date: 04/18/2020

Medicare PECOS Information:

PECOS PAC ID: 6305298571
Enrollment ID: I20240123004963

Medical Identifiers

Medical identifiers for Bailey R Widener such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700406824	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT010001510 (District Of Columbia)	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. Bailey R Widener allows following entities to bill medicare on her behalf.

Provider Name	Fitness Forum Of Maryland, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1912930835 PECOS PAC ID: 3971596537 Enrollment ID: O20040407001472

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. Bailey R Widener 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
Bailey R Widener, OTR/L 524 Kenyon St Nw Apt 33, Washington, DC 20010-2937 Ph: (913) 952-1053	Bailey R Widener, OTR/L 110 Irving St Nw, Washington, DC 20010-3017 Ph: (202) 877-6316

Reviews and Comments

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Bailey R Widener, OTR/L - Medicare Occupational Therapist in Washington, DC