Mariel Leigh Goettsch, OTR/L in Burnsville, MN - Medicare Occupational Therapist Provider

Mariel Leigh Goettsch, OTR/L is a medicare enrolled "Occupational Therapist" provider in Burnsville, Minnesota. Her current practice location is 12400 Portland Ave, Burnsville, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 898-5700.

Mariel Leigh Goettsch is licensed to practice in Minnesota (license number 104228) 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 1902158132.

Contact Information

	Mariel Leigh Goettsch, OTR/L
	12400 Portland Ave, Burnsville, MN 55337-6868
	(952) 898-5700
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mariel Leigh Goettsch
Gender	Female
Speciality	Occupational Therapist
Location	12400 Portland Ave, Burnsville, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902158132
Provider Enumeration Date: 10/11/2012
Last Update Date: 10/11/2012

Medicare PECOS Information:

PECOS PAC ID: 8325457963
Enrollment ID: I20210511001540

Medical Identifiers

Medical identifiers for Mariel Leigh Goettsch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902158132	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	104228 (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. Mariel Leigh Goettsch allows following entities to bill medicare on her behalf.

Provider Name	Fairview Express Care
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548

Provider Name	Family Speech & Therapy Services Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1235285966 PECOS PAC ID: 8022335397 Enrollment ID: O20150325001650

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. Mariel Leigh Goettsch 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
Mariel Leigh Goettsch, OTR/L 319 E 24th St, Apt F34, Minneapolis, MN 55404-3690 Ph: () -	Mariel Leigh Goettsch, OTR/L 12400 Portland Ave, Burnsville, MN 55337-6868 Ph: (952) 898-5700

Reviews and Comments

Occupational Therapist in Burnsville, MN

Camille Ann Stich, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 14301 Ewing Ave S, Burnsville, MN 55306 Phone: 952-746-5350
Anna Rice, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 E Nicollet Blvd, Burnsville, MN 55337 Phone: 952-892-2121 Fax: 952-892-2405
Mr. Jens Prem Tamang, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 14101 Fairview Dr Ste 300, Burnsville, MN 55337 Phone: 952-892-2650
Jacqueline Ann Payne, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 E Nicollet Blvd, Burnsville, MN 55337 Phone: 952-892-2000
Barbara A Fox, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 E. Nicollet Blvd, Burnsville, MN 55337 Phone: 952-892-2000
Jennifer L Cole, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 675 E Nicollet Blvd, #225, Burnsville, MN 55337 Phone: 952-892-2661
Danielle Schoenbauer, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 Cobblestone Ln, Burnsville, MN 55337 Phone: 952-460-4960

Mariel Leigh Goettsch, OTR/L - Medicare Occupational Therapist in Burnsville, MN