Holly Ann Leeper, is a medicare enrolled "Occupational Therapist" provider in Wakarusa, Indiana. Her current practice location is
300 N Washington St, Wakarusa, Indiana. You can reach out to her office (for appointments etc.) via phone at
(574) 862-4511.
Holly Ann Leeper is licensed to practice in Indiana (license number 31004436A) 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 1134846439.
Healthcare Provider's Profile
Full Name | Holly Ann Leeper |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 300 N Washington St, Wakarusa, Indiana |
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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: 1134846439
- Provider Enumeration Date: 10/26/2022
- Last Update Date: 10/26/2022
Medicare PECOS Information:
- PECOS PAC ID: 3870948466
- Enrollment ID: I20231017003418
Medical Identifiers
Medical identifiers for Holly Ann Leeper such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134846439 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 31004436A (Indiana) | 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. Holly Ann Leeper allows following entities to bill medicare on her behalf.
Provider Name | Select Rehabilitation Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1346368248 PECOS PAC ID: 9032020490 Enrollment ID: O20230517000214 |
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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. Holly Ann Leeper 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 |
Holly Ann Leeper, 7089 W 850 N, Etna Green, IN 46524-9464 Ph: (574) 596-6213 | Holly Ann Leeper, 300 N Washington St, Wakarusa, IN 46573-9590 Ph: (574) 862-4511 |
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