Lisa Vande Vegte, OTR/L in Valencia, CA - Medicare Occupational Therapist Provider

Lisa Vande Vegte, OTR/L is a medicare enrolled "Occupational Therapist" provider in Valencia, California. Her current practice location is 28141 Kelly Johnson Pkwy, Valencia, California. You can reach out to her office (for appointments etc.) via phone at (661) 388-5945.

Lisa Vande Vegte is licensed to practice in California (license number 21041) 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 1093337438.

Contact Information

	Lisa Vande Vegte, OTR/L
	28141 Kelly Johnson Pkwy, Valencia, CA 91355-5003
	(661) 388-5945
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lisa Vande Vegte
Gender	Female
Speciality	Occupational Therapist
Location	28141 Kelly Johnson Pkwy, Valencia, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093337438
Provider Enumeration Date: 05/07/2020
Last Update Date: 12/22/2023

Medicare PECOS Information:

PECOS PAC ID: 9234571043
Enrollment ID: I20240524001859

Medical Identifiers

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

Identifier	Type	State	Issuer
1093337438	NPI	-	NPPES
0010036836	Other	CA	KAISER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	21041 (California)	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 Vande Vegte allows following entities to bill medicare on her behalf.

Provider Name	Southern California Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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 Vande Vegte 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 Vande Vegte, OTR/L 24315 Walnut St Apt 101, Santa Clarita, CA 91321-2952 Ph: (619) 971-4034	Lisa Vande Vegte, OTR/L 28141 Kelly Johnson Pkwy, Valencia, CA 91355-5003 Ph: (661) 388-5945

Reviews and Comments

Occupational Therapist in Valencia, CA

Regina Sarnicola, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 25011 Magic Mountain Pkwy Apt 130, Valencia, CA 91355 Phone: 510-965-3087
Olivia Tiano, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 28141 Kelly Johnson Pkwy, Valencia, CA 91355 Phone: 818-501-8352
Katie Michelle Bevins, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 28212 Kelly Johnson Pkwy, 200, Valencia, CA 91355 Phone: 818-501-8352
Velia Rosa Lozick, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 24051 Newhall Ranch Rd Bldg C, Valencia, CA 91355 Phone: 661-254-6364
Mrs. Audra Gott, MA, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 27200 Tourney Rd, Suite 255, Valencia, CA 91355 Phone: 661-222-9901 Fax: 661-222-9326
Elisa Garcia, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 28093 Smyth Dr, Valencia, CA 91355 Phone: 661-295-0181 Fax: 661-295-9776

Lisa Vande Vegte, OTR/L - Medicare Occupational Therapist in Valencia, CA