Jeff Dimengo, OTR/L in San Francisco, CA - Medicare Occupational Therapist Provider

Jeff Dimengo, OTR/L is a medicare enrolled "Occupational Therapist" provider in San Francisco, California. His current practice location is 2425 Geary Blvd, San Francisco, California. You can reach out to his office (for appointments etc.) via phone at (415) 833-2000.

Jeff Dimengo is licensed to practice in California (license number 12507) 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 1548712011.

Contact Information

	Jeff Dimengo, OTR/L
	2425 Geary Blvd, San Francisco, CA 94115-3358
	(415) 833-2000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jeff Dimengo
Gender	Male
Speciality	Occupational Therapist
Location	2425 Geary Blvd, San Francisco, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548712011
Provider Enumeration Date: 10/31/2016
Last Update Date: 06/13/2019

Medicare PECOS Information:

PECOS PAC ID: 8527342070
Enrollment ID: I20190701001749

Medical Identifiers

Medical identifiers for Jeff Dimengo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548712011	NPI	-	NPPES
12507	Other	CA	BOARD OF OCCUPATIONAL THERAPY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	12507 (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. Jeff Dimengo allows following entities to bill medicare on his behalf.

Provider Name	Permanente Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Jeff Dimengo 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
Jeff Dimengo, OTR/L 140 Gardenside Dr, Apt 303, San Francisco, CA 94131-1325 Ph: (330) 990-2030	Jeff Dimengo, OTR/L 2425 Geary Blvd, San Francisco, CA 94115-3358 Ph: (415) 833-2000

Reviews and Comments

Occupational Therapist in San Francisco, CA

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Daniel Feliciano Ganoza, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4150 Clement St, San Francisco, CA 94121 Phone: 415-221-4810
Miriam Crennan, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 Parnassus Ave, Box 0228, San Francisco, CA 94143 Phone: 415-353-1740

Jeff Dimengo, OTR/L - Medicare Occupational Therapist in San Francisco, CA