Jennifer L Botchick, MOT, OTR/L is a medicare enrolled "Occupational Therapist" provider in Concord Twp, Ohio. Her current practice location is
12419 Painesville Warren Rd, Concord Twp, Ohio. You can reach out to her office (for appointments etc.) via phone at
(440) 479-1819.
Jennifer L Botchick is licensed to practice in * (Not Available) (license number ) 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 1679271555.
Healthcare Provider's Profile
| Full Name | Jennifer L Botchick |
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| Gender | Female |
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| Speciality | Occupational Therapist |
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| Location | 12419 Painesville Warren Rd, Concord Twp, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1679271555
- Provider Enumeration Date: 02/20/2023
- Last Update Date: 02/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 8426411125
- Enrollment ID: I20230829001175
Medical Identifiers
Medical identifiers for Jennifer L Botchick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679271555 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | (* (Not Available)) | 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. Jennifer L Botchick allows following entities to bill medicare on her behalf.
| Provider Name | Legacy Healthcare Services Inc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1174153266
PECOS PAC ID: 2163339722
Enrollment ID: O20200304001327 |
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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. Jennifer L Botchick 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 |
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Jennifer L Botchick, MOT, OTR/L
12419 Painesville Warren Rd,
Concord Twp, OH 44077-9213
Ph: (440) 479-1819 | Jennifer L Botchick, MOT, OTR/L
12419 Painesville Warren Rd,
Concord Twp, OH 44077-9213
Ph: (440) 479-1819 |
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