Johanna L Vidola, in San Antonio, TX - Medicare Occupational Therapist Provider

Johanna L Vidola, is a medicare enrolled "Occupational Therapist" provider in San Antonio, Texas. Her current practice location is 4647 Medical Dr, San Antonio, Texas. You can reach out to her office (for appointments etc.) via phone at (210) 358-2710.

Johanna L Vidola is licensed to practice in Texas (license number 110580) 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 1013250877.

Contact Information

	Johanna L Vidola,
	4647 Medical Dr, San Antonio, TX 78229-4403
	(210) 358-2710
	(210) 358-4738

Map and Direction

Healthcare Provider's Profile

Full Name	Johanna L Vidola
Gender	Female
Speciality	Occupational Therapist
Location	4647 Medical Dr, San Antonio, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013250877
Provider Enumeration Date: 03/30/2013
Last Update Date: 05/27/2015

Medicare PECOS Information:

PECOS PAC ID: 8820300841
Enrollment ID: I20150706001427

Medical Identifiers

Medical identifiers for Johanna L Vidola such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013250877	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	110580 (Texas)	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. Johanna L Vidola allows following entities to bill medicare on her behalf.

Provider Name	Community Medicine Associates
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1245313329 PECOS PAC ID: 7719979509 Enrollment ID: O20040401000372

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. Johanna L Vidola 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
Johanna L Vidola, Po Box 87, San Antonio, TX 78291-0087 Ph: (210) 358-9172	Johanna L Vidola, 4647 Medical Dr, San Antonio, TX 78229-4403 Ph: (210) 358-2710

Reviews and Comments

Occupational Therapist in San Antonio, TX

Mrs. Evelyn Marie Harness, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5101 Medical Dr, San Antonio, TX 78229 Phone: 210-592-5327 Fax: 210-592-5491
Lindsey Jean Cadenhead, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10609 Ih 10 W, Suite 201, San Antonio, TX 78230 Phone: 210-344-5437 Fax: 210-340-1259
Orville Livingstone Blake, OTR/L, MOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7400 Merton Minter St, San Antonio, TX 78229 Phone: 210-617-5300
Dr. Jana Karen Cragg, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8722 Timber Point, San Antonio, TX 78250 Phone: 210-684-6647 Fax: 210-684-5027
Mrs. Dailen C. Castillo, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9642 Torrington, San Antonio, TX 78251 Phone: 210-862-6522 Fax: 210-862-6522
Peter Z Kiser, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5100 John D Ryan Blvd # 2700, San Antonio, TX 78245 Phone: 210-677-8666
Samantha Marie Nakiza, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13333 Blanco Rd Ste 310, San Antonio, TX 78216 Phone: 210-479-5875

Johanna L Vidola, - Medicare Occupational Therapist in San Antonio, TX