Brooke Antonioli, OTD, OTR in Mansfield, TX - Medicare Occupational Therapist Provider

Brooke Antonioli, OTD, OTR is a medicare enrolled "Occupational Therapist" provider in Mansfield, Texas. Her current practice location is 2801 E Broad St, Mansfield, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 375-5200.

Brooke Antonioli 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 1073385035.

Contact Information

	Brooke Antonioli, OTD, OTR
	2801 E Broad St, Mansfield, TX 76063-9128
	(817) 375-5200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brooke Antonioli
Gender	Female
Speciality	Occupational Therapist
Location	2801 E Broad St, Mansfield, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073385035
Provider Enumeration Date: 10/24/2023
Last Update Date: 10/24/2023

Medicare PECOS Information:

PECOS PAC ID: 6406205699
Enrollment ID: I20231213002207

Medical Identifiers

Medical identifiers for Brooke Antonioli such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073385035	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. Brooke Antonioli allows following entities to bill medicare on her behalf.

Provider Name	Arlington Orthopedic Associates Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1336134469 PECOS PAC ID: 9739161704 Enrollment ID: O20040603000398

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. Brooke Antonioli 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
Brooke Antonioli, OTD, OTR 2045 S Forum Dr Apt 5326, Grand Prairie, TX 75052-1251 Ph: (979) 236-5181	Brooke Antonioli, OTD, OTR 2801 E Broad St, Mansfield, TX 76063-9128 Ph: (817) 375-5200

Reviews and Comments

Occupational Therapist in Mansfield, TX

Karissa Michelle Hill, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 99 Regency Pkwy, Suite 313, Mansfield, TX 76063 Phone: 888-864-3572
Kylie Lanier Sheppard, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2501 N Walnut Creek Dr, Mansfield, TX 76063 Phone: 214-709-1066
Mrs. Casie A Hough, MOT, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 99 Regency Pkwy, Ste 313, Mansfield, TX 76063 Phone: 682-518-5100 Fax: 817-887-0815
Convalecia Marie Johnson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 E Debbie Ln, Mansfield, TX 76063 Phone: 682-422-4926
Clarissa Nicole Kercher, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1707 Fountainview Dr, Mansfield, TX 76063 Phone: 817-752-9662
April Hipp, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 E Debbie Ln, Mansfield, TX 76063 Phone: 817-225-2912

Brooke Antonioli, OTD, OTR - Medicare Occupational Therapist in Mansfield, TX