Marisa Thomford, in Apple Valley, MN - Medicare Occupational Therapist Provider

Marisa Thomford, is a medicare enrolled "Occupational Therapist" provider in Apple Valley, Minnesota. Her current practice location is 14635 Pennock Ave Ste 300, Apple Valley, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 994-9644.

Marisa Thomford is licensed to practice in Minnesota (license number 107426) 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 1205686532.

Contact Information

	Marisa Thomford,
	14635 Pennock Ave Ste 300, Apple Valley, MN 55124-6588
	(651) 994-9644
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Marisa Thomford
Gender	Female
Speciality	Occupational Therapist
Location	14635 Pennock Ave Ste 300, Apple Valley, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205686532
Provider Enumeration Date: 03/27/2024
Last Update Date: 03/27/2024

Medicare PECOS Information:

PECOS PAC ID: 3072952985
Enrollment ID: I20240411002085

Medical Identifiers

Medical identifiers for Marisa Thomford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205686532	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	107426 (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. Marisa Thomford allows following entities to bill medicare on her behalf.

Provider Name	Childrens Therapy Center Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1295809366 PECOS PAC ID: 8426358854 Enrollment ID: O20151207003001

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. Marisa Thomford 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
Marisa Thomford, 2795 Pilot Knob Rd Ste 100, Eagan, MN 55121-1930 Ph: (651) 994-9644	Marisa Thomford, 14635 Pennock Ave Ste 300, Apple Valley, MN 55124-6588 Ph: (651) 994-9644

Reviews and Comments

Occupational Therapist in Apple Valley, MN

Elizabeth Ann Jeska, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 14635 Pennock Ave Ste 300, Apple Valley, MN 55124 Phone: 651-994-9644
Caitlin Mary Cooper, OTD, OTRL Occupational Therapist Medicare: Medicare Enrolled Practice Location: 15160 Foliage Ave Ste 170, Apple Valley, MN 55124 Phone: 952-683-1745 Fax: 952-683-1746
Jill Kathleen Felts, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15160 Foliage Ave Ste 170, Apple Valley, MN 55124 Phone: 952-683-1745 Fax: 952-683-1746
Zachary David Praus, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 15160 Foliage Ave Ste 170, Apple Valley, MN 55124 Phone: 952-683-1745 Fax: 952-206-7646
Miss Jaclyn Ashley Hillstrom, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 14635 Pennock Ave, Suite 300, Apple Valley, MN 55124 Phone: 651-994-9644 Fax: 651-994-8962
Mel P Homan, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6400 131st Street Ct, Apple Valley, MN 55124 Phone: 612-423-3673

Marisa Thomford, - Medicare Occupational Therapist in Apple Valley, MN