Lisa Marie Dirksen, OTR/L is a medicare enrolled "Occupational Therapist" provider in Sergeant Bluff, Iowa. Her current practice location is
206 Port Neal Rd, Sergeant Bluff, Iowa. You can reach out to her office (for appointments etc.) via phone at
(712) 943-3837.
Lisa Marie Dirksen is licensed to practice in Iowa (license number 002041) 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 1922343227.
Healthcare Provider's Profile
Full Name | Lisa Marie Dirksen |
---|
Gender | Female |
---|
Speciality | Occupational Therapist |
---|
Location | 206 Port Neal Rd, Sergeant Bluff, Iowa |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1922343227
- Provider Enumeration Date: 11/28/2012
- Last Update Date: 11/28/2012
Medicare PECOS Information:
- PECOS PAC ID: 5496160608
- Enrollment ID: I20210222001940
Medical Identifiers
Medical identifiers for Lisa Marie Dirksen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922343227 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 002041 (Iowa) | 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 Marie Dirksen allows following entities to bill medicare on her behalf.
Provider Name | Goodcare Athome Rehab Llc |
---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
---|
Provider Identifiers | NPI Number: 1891190377 PECOS PAC ID: 7517289614 Enrollment ID: O20200306000653 |
---|
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 Marie Dirksen 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 Marie Dirksen, OTR/L 403 Wild Plum Way, Sergeant Bluff, IA 51054-3503 Ph: (712) 880-2779 | Lisa Marie Dirksen, OTR/L 206 Port Neal Rd, Sergeant Bluff, IA 51054-8098 Ph: (712) 943-3837 |
Reviews and Comments