Jana R Mortellaro, MS, OTR-L, CHT in South Lake Tahoe, CA - Medicare Occupational Therapist Provider

Jana R Mortellaro, MS, OTR-L, CHT is a medicare enrolled "Occupational Therapist" provider in South Lake Tahoe, California. Her current practice location is 2170 South Ave, South Lake Tahoe, California. You can reach out to her office (for appointments etc.) via phone at (530) 543-5896.

Jana R Mortellaro is licensed to practice in California (license number 289) 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 1083779086.

Contact Information

	Jana R Mortellaro, MS, OTR-L, CHT
	2170 South Ave, South Lake Tahoe, CA 96150-7026
	(530) 543-5896
	(530) 544-6512

Map and Direction

Healthcare Provider's Profile

Full Name	Jana R Mortellaro
Gender	Female
Speciality	Occupational Therapist
Location	2170 South Ave, South Lake Tahoe, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083779086
Provider Enumeration Date: 12/27/2006
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 9032248943
Enrollment ID: I20101022001294

Medical Identifiers

Medical identifiers for Jana R Mortellaro such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083779086	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	0401 (Nevada)	Secondary
225X00000X	Occupational Therapist	289 (California)	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. Jana R Mortellaro allows following entities to bill medicare on her behalf.

Provider Name	Lake Tahoe Orthopaedic Institute A Watson-swanson Professional Corp
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1609937911 PECOS PAC ID: 3375448384 Enrollment ID: O20031203000511

Provider Name	Nevada Hand Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1457638157 PECOS PAC ID: 9739355967 Enrollment ID: O20120110000200

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. Jana R Mortellaro 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
Jana R Mortellaro, MS, OTR-L, CHT Po Box 9578, South Lake Tahoe, CA 96158-9578 Ph: (530) 543-5896	Jana R Mortellaro, MS, OTR-L, CHT 2170 South Ave, South Lake Tahoe, CA 96150-7026 Ph: (530) 543-5896

Reviews and Comments

Occupational Therapist in South Lake Tahoe, CA

Angela Kay Fluitt, OTR/L, CHT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5896 Fax: 530-544-6512
Jill Parmele, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5896 Fax: 530-544-6512
Joseph Deanovich, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5896 Fax: 530-544-6512
Amy Ann Wallace, OTR-L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 10539 Professional Cir, Suite 201, South Lake Tahoe, CA 96150 Phone: 775-348-8800 Fax: 833-687-1419
Brittainy Hyslop, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5896 Fax: 530-544-6512
Hillary Dembroff, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1360 Johnson Blvd, Suite 103, South Lake Tahoe, CA 96150 Phone: 530-543-2313

Jana R Mortellaro, MS, OTR-L, CHT - Medicare Occupational Therapist in South Lake Tahoe, CA