Marlene Granja Betancourt, OTR is a medicare enrolled "Occupational Therapist" provider in N Richland Hills, Texas. Her current practice location is
6350 Winter Park Dr, N Richland Hills, Texas. You can reach out to her office (for appointments etc.) via phone at
(817) 482-6026.
Marlene Granja Betancourt is licensed to practice in * (Not Available) (license number ) 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 1124746268.
Healthcare Provider's Profile
| Full Name | Marlene Granja Betancourt |
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| Gender | Female |
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| Speciality | Occupational Therapist |
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| Location | 6350 Winter Park Dr, N Richland Hills, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1124746268
- Provider Enumeration Date: 08/15/2022
- Last Update Date: 08/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 8820464886
- Enrollment ID: I20221014003056
Medical Identifiers
Medical identifiers for Marlene Granja Betancourt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1124746268 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | (* (Not Available)) | 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. Marlene Granja Betancourt allows following entities to bill medicare on her behalf.
| Provider Name | Powerback Rehabilitation Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1427454164
PECOS PAC ID: 2365359932
Enrollment ID: O20150529002032 |
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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. Marlene Granja Betancourt 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 |
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Marlene Granja Betancourt, OTR
14350 Dallas Pkwy Apt 1136,
Dallas, TX 75254-8347
Ph: (469) 570-1845 | Marlene Granja Betancourt, OTR
6350 Winter Park Dr,
N Richland Hills, TX 76180-5363
Ph: (817) 482-6026 |
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