Marty E Wilcox, OT in Tuba City, AZ - Medicare Occupational Therapist Provider

Marty E Wilcox, OT is a medicare enrolled "Occupational Therapist" provider in Tuba City, Arizona. His current practice location is 167 North Main Street, Tuba City, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 283-2501.

Marty E Wilcox is licensed to practice in Arizona (license number 2818) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1295769776.

Contact Information

	Marty E Wilcox, OT
	167 North Main Street, Tuba City, AZ 86045-0600
	(928) 283-2501
	(928) 283-2677

Map and Direction

Healthcare Provider's Profile

Full Name	Marty E Wilcox
Gender	Male
Speciality	Occupational Therapist
Location	167 North Main Street, Tuba City, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295769776
Provider Enumeration Date: 07/10/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3678677176
Enrollment ID: I20070322000183

Medical Identifiers

Medical identifiers for Marty E Wilcox such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295769776	NPI	-	NPPES
104179	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	2818 (Arizona)	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. Marty E Wilcox allows following entities to bill medicare on his behalf.

Provider Name	Tuba City Regional Health Care Corporation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1548294424 PECOS PAC ID: 4284542531 Enrollment ID: O20031105000107

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. Marty E Wilcox 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
Marty E Wilcox, OT Po Box 600, 167 North Main Street, Tuba City, AZ 86045-0600 Ph: (928) 283-2501	Marty E Wilcox, OT 167 North Main Street, Tuba City, AZ 86045-0600 Ph: (928) 283-2501

Reviews and Comments

Occupational Therapist in Tuba City, AZ

Ms. Gloria Brandt, O.T.R. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: E. Fir St., Tuba City Unified School District, Tuba City, AZ 86045 Phone: 928-283-4211
Ms. Grace Elizabeth Reid, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 167 N Main St, Tuba City, AZ 86045 Phone: 928-283-2873
Jacqueline Nicole Fullerton, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2590 Fax: 928-283-2591
Carlos T Stanford, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677
Mrs. Ashley Benford, OTD/OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 167 N Main St, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2095

Marty E Wilcox, OT - Medicare Occupational Therapist in Tuba City, AZ