Lisa Douglas, MOT, OTR/L, CLT in Orlando, FL - Medicare Occupational Therapist Provider

Lisa Douglas, MOT, OTR/L, CLT is a medicare enrolled "Occupational Therapist" provider in Orlando, Florida. Her current practice location is 809 Good Homes Rd, Orlando, Florida. You can reach out to her office (for appointments etc.) via phone at (407) 293-3156.

Lisa Douglas is licensed to practice in Florida (license number OT20253) 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 1760842215.

Contact Information

	Lisa Douglas, MOT, OTR/L, CLT
	809 Good Homes Rd, Orlando, FL 32818-6628
	(407) 293-3156
	(407) 293-3155

Map and Direction

Healthcare Provider's Profile

Full Name	Lisa Douglas
Gender	Female
Speciality	Occupational Therapist
Location	809 Good Homes Rd, Orlando, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760842215
Provider Enumeration Date: 02/25/2016
Last Update Date: 07/27/2021

Medicare PECOS Information:

PECOS PAC ID: 9537530613
Enrollment ID: I20230127002178

Medical Identifiers

Medical identifiers for Lisa Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760842215	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT.007743 (Ohio)	Secondary
225X00000X	Occupational Therapist	4031 (New Mexico)	Secondary
225X00000X	Occupational Therapist	OT20253 (Florida)	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. Lisa Douglas allows following entities to bill medicare on her behalf.

Provider Name	Protailored Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1063805042 PECOS PAC ID: 4385962497 Enrollment ID: O20150421000554

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. Lisa Douglas 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
Lisa Douglas, MOT, OTR/L, CLT 336 Broad St # 203, Rome, GA 30161-3006 Ph: (407) 293-3156	Lisa Douglas, MOT, OTR/L, CLT 809 Good Homes Rd, Orlando, FL 32818-6628 Ph: (407) 293-3156

Reviews and Comments

Occupational Therapist in Orlando, FL

Mrs. Lisa M Cody, OT CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 N Orange Ave, Ste 610, Orlando, FL 32801 Phone: 407-228-0588
Daniel Linares, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4401 E Colonial Dr, Suite 107, Orlando, FL 32803 Phone: 407-898-5060
Amanda Mercedes Hoss, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7380 W Sand Lake Rd Ste 500, Orlando, FL 32819 Phone: 407-905-9300
Christian Harrison Hokeah, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 830 29th St, Orlando, FL 32805 Phone: 407-843-3230
Dunrey A Larose, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2940 Monaco Ct, Orlando, FL 32806 Phone: 407-488-9020
Megan Gambill, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6000 Turkey Lake Rd Ste 114, Orlando, FL 32819 Phone: 321-732-3723
Kelsey Frails, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 830 29th St, Orlando, FL 32805 Phone: 877-787-3430

Lisa Douglas, MOT, OTR/L, CLT - Medicare Occupational Therapist in Orlando, FL