Joanna Nicole Anderson, OTR/L is a medicare enrolled "Occupational Therapist" provider in Mound, Minnesota. Her current practice location is
1861 Commerce Blvd, Mound, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(952) 240-3285.
Joanna Nicole Anderson is licensed to practice in Minnesota (license number 106436) 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 1366201626.
Healthcare Provider's Profile
Full Name | Joanna Nicole Anderson |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 1861 Commerce Blvd, Mound, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1366201626
- Provider Enumeration Date: 03/18/2024
- Last Update Date: 03/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 8123460060
- Enrollment ID: I20240523003102
Medical Identifiers
Medical identifiers for Joanna Nicole Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366201626 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 106436 (Minnesota) | 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. Joanna Nicole Anderson allows following entities to bill medicare on her behalf.
Provider Name | Aegis Group Practice Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1417340126 PECOS PAC ID: 5193036432 Enrollment ID: O20150612001586 |
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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. Joanna Nicole Anderson 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 |
Joanna Nicole Anderson, OTR/L 4786 Carrick Rd, Mound, MN 55364-1873 Ph: (612) 601-6197 | Joanna Nicole Anderson, OTR/L 1861 Commerce Blvd, Mound, MN 55364-1293 Ph: (952) 240-3285 |
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