Ellen Hiestand, in Boulder, CO - Medicare Occupational Therapist Provider

Ellen Hiestand, is a medicare enrolled "Occupational Therapist" provider in Boulder, Colorado. Her current practice location is 4730 Table Mesa Dr Ste K100, Boulder, Colorado. You can reach out to her office (for appointments etc.) via phone at (303) 954-8423.

Ellen Hiestand 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 1922871771.

Contact Information

	Ellen Hiestand,
	4730 Table Mesa Dr Ste K100, Boulder, CO 80305-5591
	(303) 954-8423
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ellen Hiestand
Gender	Female
Speciality	Occupational Therapist
Location	4730 Table Mesa Dr Ste K100, Boulder, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922871771
Provider Enumeration Date: 11/03/2023
Last Update Date: 11/03/2023

Medicare PECOS Information:

PECOS PAC ID: 6507216918
Enrollment ID: I20231227003157

Medical Identifiers

Medical identifiers for Ellen Hiestand such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922871771	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. Ellen Hiestand allows following entities to bill medicare on her behalf.

Provider Name	Nishimoto And Neujahr Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1477831394 PECOS PAC ID: 4789847120 Enrollment ID: O20120522000785

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. Ellen Hiestand 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
Ellen Hiestand, 2857 Shadow Creek Dr, Boulder, CO 80303-1738 Ph: () -	Ellen Hiestand, 4730 Table Mesa Dr Ste K100, Boulder, CO 80305-5591 Ph: (303) 954-8423

Reviews and Comments

Occupational Therapist in Boulder, CO

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Jakki Ruzich, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3850 Paseo Del Prado St Apt 36, Boulder, CO 80301 Phone: 702-612-7533
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Ellen Hiestand, - Medicare Occupational Therapist in Boulder, CO