Mary Therese Etayeb, OTR in Los Angeles, CA - Medicare Occupational Therapy Provider

Mary Therese Etayeb, OTR is a medicare enrolled "Occupational Therapist - Hand" provider in Los Angeles, California. She graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Occupational Therapy. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is 6041 Cadillac Ave, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 857-2536.

Mary Therese Etayeb is licensed to practice in California (license number 5942) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790982858.

Contact Information

	Mary Therese Etayeb, OTR
	6041 Cadillac Ave, Los Angeles, CA 90034-1702
	(323) 857-2536
	(323) 857-3736

Map and Direction

Healthcare Provider's Profile

Full Name	Mary Therese Etayeb
Gender	Female
Speciality	Occupational Therapy
Experience	38 Years
Location	6041 Cadillac Ave, Los Angeles, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mary Therese Etayeb graduated from medical school in 1986

NPI Data:

NPI Number: 1790982858
Provider Enumeration Date: 06/29/2007
Last Update Date: 12/03/2021

Medicare PECOS Information:

PECOS PAC ID: 4082740444
Enrollment ID: I20100325000260

Medical Identifiers

Medical identifiers for Mary Therese Etayeb such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790982858	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225XH1200X	Occupational Therapist - Hand	5942 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	8172

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 Therese Etayeb allows following entities to bill medicare on her behalf.

Provider Name	Southern California Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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 Therese Etayeb 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 Therese Etayeb, OTR 6774 La Presa Dr, San Gabriel, CA 91775-1108 Ph: () -	Mary Therese Etayeb, OTR 6041 Cadillac Ave, Los Angeles, CA 90034-1702 Ph: (323) 857-2536

Reviews and Comments

Occupational Therapist in Los Angeles, CA

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Natasha Trisha Navi, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10790 Wilshire Blvd Apt 1004, Los Angeles, CA 90024 Phone: 310-880-5530
Ms. Sheralyn Lee, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3638 Motor Ave, Los Angeles, CA 90034 Phone: 310-204-8999

Mary Therese Etayeb, OTR - Medicare Occupational Therapist in Los Angeles, CA