Jessica Groll, is a medicare enrolled "Occupational Therapist" provider in Lyman, Wyoming. Her current practice location is
109 S Main St Ste D, Lyman, Wyoming. You can reach out to her office (for appointments etc.) via phone at
(307) 787-3278.
Jessica Groll is licensed to practice in Wyoming (license number 1594) 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 1114641693.
Healthcare Provider's Profile
| Full Name | Jessica Groll |
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| Gender | Female |
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| Speciality | Occupational Therapist |
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| Location | 109 S Main St Ste D, Lyman, Wyoming |
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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: 1114641693
- Provider Enumeration Date: 09/28/2022
- Last Update Date: 09/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 4981070877
- Enrollment ID: I20221018001339
Medical Identifiers
Medical identifiers for Jessica Groll such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1114641693 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | 1594 (Wyoming) | 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. Jessica Groll allows following entities to bill medicare on her behalf.
| Provider Name | Alliance Physical Therapy, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1700081239
PECOS PAC ID: 6901906452
Enrollment ID: O20070712000390 |
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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. Jessica Groll 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 |
|---|
Jessica Groll,
109 S Main St Ste D,
Lyman, WY 82937-5177
Ph: (307) 787-3278 | Jessica Groll,
109 S Main St Ste D,
Lyman, WY 82937-5177
Ph: (307) 787-3278 |
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