Jacob Chance Ayoub, in Surprise, AZ - Medicare Occupational Therapist Provider

Jacob Chance Ayoub, is a medicare enrolled "Occupational Therapist" provider in Surprise, Arizona. His current practice location is 14239 W Bell Rd Ste 110, Surprise, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 544-1631.

Jacob Chance Ayoub is licensed to practice in Arkansas (license number OTH-008907) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1861191769.

Contact Information

	Jacob Chance Ayoub,
	14239 W Bell Rd Ste 110, Surprise, AZ 85374-2470
	(623) 544-1631
	(623) 975-6144

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob Chance Ayoub
Gender	Male
Speciality	Occupational Therapist
Location	14239 W Bell Rd Ste 110, Surprise, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861191769
Provider Enumeration Date: 02/28/2023
Last Update Date: 02/28/2023

Medicare PECOS Information:

PECOS PAC ID: 0042685125
Enrollment ID: I20230403000598

Medical Identifiers

Medical identifiers for Jacob Chance Ayoub such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861191769	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OTH-008907 (Arkansas)	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. Jacob Chance Ayoub allows following entities to bill medicare on his behalf.

Provider Name	Dht Hand Therapy Limited Partnership
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1629137997 PECOS PAC ID: 0547362691 Enrollment ID: O20070221000195

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. Jacob Chance Ayoub 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
Jacob Chance Ayoub, 14239 W Bell Rd Ste 110, Surprise, AZ 85374-2470 Ph: (623) 544-1631	Jacob Chance Ayoub, 14239 W Bell Rd Ste 110, Surprise, AZ 85374-2470 Ph: (623) 544-1631

Reviews and Comments

Occupational Therapist in Surprise, AZ

Jennifer Stuart, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 18510 N Parkview Pl, Surprise, AZ 85374 Phone: 623-546-8011
Haley Cummings, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15116 N Cotton Ln, Surprise, AZ 85388 Phone: 800-376-3440
Nicole Pruett, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15802 N Parkview Pl, Surprise, AZ 85374 Phone: 623-876-7000
Elizabeth M Beane, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 18343 W Saguaro Ln, Surprise, AZ 85388 Phone: 206-718-9671
Michael Santiago, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 14815 W Bell Rd Ste 110, Surprise, AZ 85374 Phone: 623-777-1870 Fax: 623-777-1403
Serena Etling, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13601 N Litchfield Rd Ste 124, Surprise, AZ 85379 Phone: 623-322-8250
Mrs. Deborah Blair Gyorffy, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 17999 W Surprise Farms Loop South, Surprise, AZ 85388 Phone: 623-876-7388

Jacob Chance Ayoub, - Medicare Occupational Therapist in Surprise, AZ