Madison Dallenbach, OTR/L in Tuscaloosa, AL - Medicare Occupational Therapist Provider

Madison Dallenbach, OTR/L is a medicare enrolled "Occupational Therapist" provider in Tuscaloosa, Alabama. Her current practice location is 2703 University Blvd E, Tuscaloosa, Alabama. You can reach out to her office (for appointments etc.) via phone at (205) 248-7064.

Madison Dallenbach is licensed to practice in Alabama (license number 6149) 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 1063296705.

Contact Information

	Madison Dallenbach, OTR/L
	2703 University Blvd E, Tuscaloosa, AL 35404-3226
	(205) 248-7064
	(205) 523-7158

Map and Direction

Healthcare Provider's Profile

Full Name	Madison Dallenbach
Gender	Female
Speciality	Occupational Therapist
Location	2703 University Blvd E, Tuscaloosa, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063296705
Provider Enumeration Date: 08/23/2023
Last Update Date: 08/23/2023

Medicare PECOS Information:

PECOS PAC ID: 7315393246
Enrollment ID: I20231027002319

Medical Identifiers

Medical identifiers for Madison Dallenbach such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063296705	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	6149 (Alabama)	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. Madison Dallenbach allows following entities to bill medicare on her behalf.

Provider Name	New Hope Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1497871495 PECOS PAC ID: 8224180500 Enrollment ID: O20090717000062

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. Madison Dallenbach 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
Madison Dallenbach, OTR/L 119 Wexford Way, Tuscaloosa, AL 35405-6131 Ph: (918) 740-5280	Madison Dallenbach, OTR/L 2703 University Blvd E, Tuscaloosa, AL 35404-3226 Ph: (205) 248-7064

Reviews and Comments

Occupational Therapist in Tuscaloosa, AL

Mr. Marc David Wilson, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1110 6th Ave E, Tuscaloosa, AL 35401 Phone: 205-759-1211 Fax: 205-349-1162
Dr. Mackenzie Steger Wilson, OTD, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2703 University Blvd E, Tuscaloosa, AL 35404 Phone: 205-248-7064
Sterrick D'earl Morgan, MS,OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3701 Loop Road East, Tuscaloosa, AL 35404 Phone: 205-554-2000
Mrs. Courtney Duff Harrison, O.T. Occupational Therapist Medicare: May Accept Medicare Assignments Practice Location: 1110 6th Ave E, Tuscaloosa, AL 35401 Phone: 205-759-1211 Fax: 205-722-1009
Ms. Lisa Ann Trentham, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 Paul W Bryant Dr E, Tuscaloosa, AL 35401 Phone: 205-345-0192 Fax: 205-247-2878
Mr. Allen Pernell Riley, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3701 Loop Rd, Tuscaloosa, AL 35404 Phone: 205-554-2000

Madison Dallenbach, OTR/L - Medicare Occupational Therapist in Tuscaloosa, AL