Mary Elise Johnson, OTR/L in Hurricane, WV - Medicare Occupational Therapist Provider

Mary Elise Johnson, OTR/L is a medicare enrolled "Occupational Therapist" provider in Hurricane, West Virginia. Her current practice location is 179 Station Place Way, Suite 100, Hurricane, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 760-6300.

Mary Elise Johnson is licensed to practice in West Virginia (license number 1475) 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 1538471206.

Contact Information

	Mary Elise Johnson, OTR/L
	179 Station Place Way, Suite 100, Hurricane, WV 25526-8747
	(304) 760-6300
	(304) 201-5123

Map and Direction

Healthcare Provider's Profile

Full Name	Mary Elise Johnson
Gender	Female
Speciality	Occupational Therapist
Location	179 Station Place Way, Hurricane, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538471206
Provider Enumeration Date: 07/09/2010
Last Update Date: 04/25/2013

Medicare PECOS Information:

PECOS PAC ID: 5193963395
Enrollment ID: I20200507001281

Medical Identifiers

Medical identifiers for Mary Elise Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538471206	NPI	-	NPPES
3810018156	Medicaid	WV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	1475 (West Virginia)	Primary
225X00000X	Occupational Therapist	OT.007494 (Ohio)	Secondary

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. Mary Elise Johnson allows following entities to bill medicare on her behalf.

Provider Name	Legacy Healthcare Services Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1740820828 PECOS PAC ID: 2163339722 Enrollment ID: O20200313002051

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. Mary Elise Johnson 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
Mary Elise Johnson, OTR/L Po Box 450, Scott Depot, WV 25560-0450 Ph: (304) 760-6300	Mary Elise Johnson, OTR/L 179 Station Place Way, Suite 100, Hurricane, WV 25526-8747 Ph: (304) 760-6300

Reviews and Comments

Occupational Therapist in Hurricane, WV

Erin Grace Bowling, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 179 Station Pl, Hurricane, WV 25526 Phone: 304-760-6300 Fax: 304-201-5123
Holly Conrad, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 179 Station Pl, Hurricane, WV 25526 Phone: 304-760-6300 Fax: 304-201-5123
Erin Blaine Elswick, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 179 Station Pl, Hurricane, WV 25526 Phone: 304-760-6300
Emily Ann Burnside, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 179 Station Pl, Hurricane, WV 25526 Phone: 304-760-6300 Fax: 304-201-5123
Charles Evans Ii, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4000 Out Look Dr, Hurricane, WV 25526 Phone: 304-757-4102
Mrs. Jaclyn A Santangelo, MOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3705 Teays Valley Rd, Suite 100, Hurricane, WV 25526 Phone: 304-757-2500 Fax: 304-757-2586
Angela Brooke Osburn, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 179 Station Place Way, Hurricane, WV 25526 Phone: 304-760-6300 Fax: 304-201-5123

Mary Elise Johnson, OTR/L - Medicare Occupational Therapist in Hurricane, WV