Lesley Diane Fain, OTR/L in Tahlequah, OK - Medicare Occupational Therapist Provider

Lesley Diane Fain, OTR/L is a medicare enrolled "Occupational Therapist" provider in Tahlequah, Oklahoma. Her current practice location is 100 S Bliss Ave, Tahlequah, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 458-3100.

Lesley Diane Fain is licensed to practice in Oklahoma (license number 2065) 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 1578008322.

Contact Information

	Lesley Diane Fain, OTR/L
	100 S Bliss Ave, Tahlequah, OK 74464-2512
	(918) 458-3100
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lesley Diane Fain
Gender	Female
Speciality	Occupational Therapist
Location	100 S Bliss Ave, Tahlequah, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578008322
Provider Enumeration Date: 01/04/2017
Last Update Date: 01/04/2017

Medicare PECOS Information:

PECOS PAC ID: 1456772326
Enrollment ID: I20200601001679

Medical Identifiers

Medical identifiers for Lesley Diane Fain such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578008322	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	2065 (Oklahoma)	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. Lesley Diane Fain allows following entities to bill medicare on her behalf.

Provider Name	Cherokee Nation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628

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. Lesley Diane Fain 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
Lesley Diane Fain, OTR/L 16959 W 737 Rd, Tahlequah, OK 74464-1069 Ph: (918) 316-0538	Lesley Diane Fain, OTR/L 100 S Bliss Ave, Tahlequah, OK 74464-2512 Ph: (918) 458-3100

Reviews and Comments

Occupational Therapist in Tahlequah, OK

Summer Lynn Brixey, COTA/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1510 N Grand Ave, Tahlequah, OK 74464 Phone: 918-708-2119
Ashley Nicole Graham, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2506 Diffee Dr, Tahlequah, OK 74464 Phone: 405-501-1547
Ms. M. Marget Wincent, OTIII Occupational Therapist Medicare: Medicare Enrolled Practice Location: 310 W Keetoowah St, Tahlequah, OK 74464 Phone: 918-708-9558 Fax: 918-708-9580
Steven Albert Chase, OT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1400 E Downing St, Tahlequah, OK 74464 Phone: 918-506-6870 Fax: 918-453-9409
Laura Beth Harlen, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1400 E Downing St, Tahlequah, OK 74464 Phone: 918-458-2404
Prosper Ot Consultation Services, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15016 W 710 Rd, Tahlequah, OK 74464 Phone: 918-822-0883

Lesley Diane Fain, OTR/L - Medicare Occupational Therapist in Tahlequah, OK