Janice Fajardo Evangelista, OTR in Terre Haute, IN - Medicare Occupational Therapist Provider

Janice Fajardo Evangelista, OTR is a medicare enrolled "Occupational Therapist" provider in Terre Haute, Indiana. Her current practice location is 3500 Maple Ave, Terre Haute, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 238-6986.

Janice Fajardo Evangelista is licensed to practice in Indiana (license number 31003991A) 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 1316102965.

Contact Information

	Janice Fajardo Evangelista, OTR
	3500 Maple Ave, Terre Haute, IN 47804-1732
	(812) 238-6986
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Janice Fajardo Evangelista
Gender	Female
Speciality	Occupational Therapist
Location	3500 Maple Ave, Terre Haute, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316102965
Provider Enumeration Date: 07/23/2008
Last Update Date: 08/12/2008

Medicare PECOS Information:

PECOS PAC ID: 8022434190
Enrollment ID: I20200819003344

Medical Identifiers

Medical identifiers for Janice Fajardo Evangelista such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316102965	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	31003991A (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. Janice Fajardo Evangelista allows following entities to bill medicare on her behalf.

Provider Name	Therapy On Wheels Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1932654985 PECOS PAC ID: 1557659588 Enrollment ID: O20161006002488

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. Janice Fajardo Evangelista 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
Janice Fajardo Evangelista, OTR 960 E Sunset Pike Dr, Terre Haute, IN 47802-4574 Ph: (812) 299-0278	Janice Fajardo Evangelista, OTR 3500 Maple Ave, Terre Haute, IN 47804-1732 Ph: (812) 238-6986

Reviews and Comments

Occupational Therapist in Terre Haute, IN

Mrs. Lorrie Ann Myers, COTA Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1450 E Crossing Blvd, Terre Haute, IN 47802 Phone: 812-299-9900
Karyssa Jeanne Nelson, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1320 Walnut St, Terre Haute, IN 47807 Phone: 307-660-7801
Tera Dewig, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1606 N 7th St, Terre Haute, IN 47804 Phone: 812-238-7400
Patrick C Klos, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1725 N 5th St, Terre Haute, IN 47804 Phone: 812-238-7210
Mrs. Donna Louise Cox, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1606 N 7th St, Terre Haute, IN 47804 Phone: 812-238-7362
Mrs. Paulette O Jacinto, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1606 N 7th St, Terre Haute, IN 47804 Phone: 812-238-7362
Abigail Marie Unger, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 399 Hospital Ln, Terre Haute, IN 47802 Phone: 812-645-2308 Fax: 317-520-8200

Janice Fajardo Evangelista, OTR - Medicare Occupational Therapist in Terre Haute, IN