Brittney Agnes Missant, is a medicare enrolled "Occupational Therapist" provider in Bloomfield Township, Michigan. Her current practice location is
100 W Square Lake Rd, Bloomfield Township, Michigan. You can reach out to her office (for appointments etc.) via phone at
(248) 282-4088.
Brittney Agnes Missant is licensed to practice in Michigan (license number 5201013252) 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 1912600305.
Healthcare Provider's Profile
| Full Name | Brittney Agnes Missant |
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| Gender | Female |
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| Speciality | Occupational Therapist |
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| Location | 100 W Square Lake Rd, Bloomfield Township, Michigan |
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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: 1912600305
- Provider Enumeration Date: 03/23/2023
- Last Update Date: 03/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 1658727086
- Enrollment ID: I20231020002960
Medical Identifiers
Medical identifiers for Brittney Agnes Missant such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1912600305 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | 5201013252 (Michigan) | 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. Brittney Agnes Missant allows following entities to bill medicare on her behalf.
| Provider Name | Powerback Rehabilitation Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1912226366
PECOS PAC ID: 2365359932
Enrollment ID: O20101207000651 |
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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. Brittney Agnes Missant 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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Brittney Agnes Missant,
46772 Harvester Ct,
Macomb, MI 48044-6211
Ph: (586) 212-5537 | Brittney Agnes Missant,
100 W Square Lake Rd,
Bloomfield Township, MI 48302-0463
Ph: (248) 282-4088 |
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