Connie Colleen Wyatt, OTR/L is a medicare enrolled "Occupational Therapist - Environmental Modification" provider in Anacortes, Washington. Her current practice location is
4815 Sharpe Rd, Anacortes, Washington. You can reach out to her office (for appointments etc.) via phone at
(360) 770-1752.
Connie Colleen Wyatt is licensed to practice in Washington (license number 60850227) 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 1992345011.
Healthcare Provider's Profile
Full Name | Connie Colleen Wyatt |
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Gender | Female |
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Speciality | Occupational Therapist - Environmental Modification |
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Location | 4815 Sharpe Rd, Anacortes, Washington |
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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: 1992345011
- Provider Enumeration Date: 01/07/2020
- Last Update Date: 01/07/2020
Medicare PECOS Information:
- PECOS PAC ID: 9830527639
- Enrollment ID: I20200310001650
Medical Identifiers
Medical identifiers for Connie Colleen Wyatt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992345011 | NPI | - | NPPES |
60850227 | Other | WA | OCCUPATIONAL THERAPIST LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225XG0600X | Occupational Therapist - Gerontology | 60850227 (Washington) | Secondary |
225XP0019X | Occupational Therapist - Physical Rehabilitation | 60850227 (Washington) | Secondary |
225XE0001X | Occupational Therapist - Environmental Modification | 60850227 (Washington) | 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. Connie Colleen Wyatt allows following entities to bill medicare on her behalf.
Provider Name | Pnw Home For Life Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1649800608 PECOS PAC ID: 8921436726 Enrollment ID: O20200310000181 |
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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. Connie Colleen Wyatt 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 |
Connie Colleen Wyatt, OTR/L 4815 Sharpe Rd, Anacortes, WA 98221-8403 Ph: (360) 770-1752 | Connie Colleen Wyatt, OTR/L 4815 Sharpe Rd, Anacortes, WA 98221-8403 Ph: (360) 770-1752 |
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