Jessica Taveras, is a medicare enrolled "Occupational Therapist" provider in Hillburn, New York. Her current practice location is
10b Park Ave, Hillburn, New York. You can reach out to her office (for appointments etc.) via phone at
(845) 825-0273.
Jessica Taveras is licensed to practice in New York (license number 025481) 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 1114507019.
Healthcare Provider's Profile
| Full Name | Jessica Taveras |
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| Gender | Female |
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| Speciality | Occupational Therapist |
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| Location | 10b Park Ave, Hillburn, New York |
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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: 1114507019
- Provider Enumeration Date: 04/13/2021
- Last Update Date: 04/13/2021
Medicare PECOS Information:
- PECOS PAC ID: 8628447828
- Enrollment ID: I20221209002538
Medical Identifiers
Medical identifiers for Jessica Taveras such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1114507019 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | 025481 (New York) | 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 Taveras allows following entities to bill medicare on her behalf.
| Provider Name | Medwell Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1659384360
PECOS PAC ID: 9931189776
Enrollment ID: O20040722000847 |
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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 Taveras 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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Jessica Taveras,
Po Box 353,
Hillburn, NY 10931-0353
Ph: (845) 825-0273 | Jessica Taveras,
10b Park Ave,
Hillburn, NY 10931-1050
Ph: (845) 825-0273 |
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