Lisa Jean Jeffrey Brown, OTR/L is a medicare enrolled "Occupational Therapist - Pediatrics" provider in East Grand Forks, Minnesota. Her current practice location is
1505 Central Ave Nw, East Grand Forks, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(701) 739-6403.
Lisa Jean Jeffrey Brown is licensed to practice in Minnesota (license number 100408) 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 1205496346.
Healthcare Provider's Profile
| Full Name | Lisa Jean Jeffrey Brown |
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| Gender | Female |
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| Speciality | Occupational Therapist - Pediatrics |
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| Location | 1505 Central Ave Nw, East Grand Forks, Minnesota |
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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: 1205496346
- Provider Enumeration Date: 06/20/2019
- Last Update Date: 03/02/2022
Medicare PECOS Information:
- PECOS PAC ID: 7618302944
- Enrollment ID: I20200115001093
Medical Identifiers
Medical identifiers for Lisa Jean Jeffrey Brown such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205496346 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225XP0200X | Occupational Therapist - Pediatrics | 100408 (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. Lisa Jean Jeffrey Brown allows following entities to bill medicare on her behalf.
| Provider Name | Home Therapy Solutions Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1801376959
PECOS PAC ID: 2365788569
Enrollment ID: O20190109000832 |
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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. Lisa Jean Jeffrey Brown 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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Lisa Jean Jeffrey Brown, OTR/L
2225 9th St Se,
East Grand Forks, MN 56721-3008
Ph: (701) 739-6403 | Lisa Jean Jeffrey Brown, OTR/L
1505 Central Ave Nw,
East Grand Forks, MN 56721-1301
Ph: (701) 739-6403 |
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