Mallory Renee Pleiman, OTR/L is a medicare enrolled "Occupational Therapist" provider in Fort Loramie, Ohio. Her current practice location is
375 Sioux St, Fort Loramie, Ohio. You can reach out to her office (for appointments etc.) via phone at
(937) 726-7186.
Mallory Renee Pleiman is licensed to practice in Ohio (license number OT.008273) 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 1851728562.
Healthcare Provider's Profile
Full Name | Mallory Renee Pleiman |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 375 Sioux St, Fort Loramie, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1851728562
- Provider Enumeration Date: 09/27/2013
- Last Update Date: 09/27/2013
Medicare PECOS Information:
- PECOS PAC ID: 0345771598
- Enrollment ID: I20240930001697
Medical Identifiers
Medical identifiers for Mallory Renee Pleiman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851728562 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | OT.008273 (Ohio) | 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. Mallory Renee Pleiman allows following entities to bill medicare on her behalf.
Provider Name | Aegis Group Practice Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1093389751 PECOS PAC ID: 5193036432 Enrollment ID: O20210621000546 |
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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. Mallory Renee Pleiman 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 |
Mallory Renee Pleiman, OTR/L 375 Sioux St, Fort Loramie, OH 45845-9315 Ph: (937) 726-7186 | Mallory Renee Pleiman, OTR/L 375 Sioux St, Fort Loramie, OH 45845-9315 Ph: (937) 726-7186 |
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