Matthew A Walczak, OTR/L in Burnsville, MN - Medicare Occupational Therapist Provider

Matthew A Walczak, OTR/L is a medicare enrolled "Occupational Therapist" provider in Burnsville, Minnesota. His current practice location is 150 Cobblestone Ln, Burnsville, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 892-2717.

Matthew A Walczak is licensed to practice in Minnesota (license number 106212) 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 1790368793.

Contact Information

	Matthew A Walczak, OTR/L
	150 Cobblestone Ln, Burnsville, MN 55337-4578
	(952) 892-2717
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Matthew A Walczak
Gender	Male
Speciality	Occupational Therapist
Location	150 Cobblestone Ln, Burnsville, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790368793
Provider Enumeration Date: 04/28/2021
Last Update Date: 04/28/2021

Medicare PECOS Information:

PECOS PAC ID: 4981003282
Enrollment ID: I20210518002082

Medical Identifiers

Medical identifiers for Matthew A Walczak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790368793	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	106212 (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. Matthew A Walczak allows following entities to bill medicare on his behalf.

Provider Name	Fairview Express Care
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548

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. Matthew A Walczak 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
Matthew A Walczak, OTR/L 2024 Grand Ave S Apt 1, Minneapolis, MN 55405-3490 Ph: (608) 658-5833	Matthew A Walczak, OTR/L 150 Cobblestone Ln, Burnsville, MN 55337-4578 Ph: (952) 892-2717

Reviews and Comments

Occupational Therapist in Burnsville, MN

Camille Ann Stich, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 14301 Ewing Ave S, Burnsville, MN 55306 Phone: 952-746-5350
Anna Rice, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 E Nicollet Blvd, Burnsville, MN 55337 Phone: 952-892-2121 Fax: 952-892-2405
Mr. Jens Prem Tamang, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 14101 Fairview Dr Ste 300, Burnsville, MN 55337 Phone: 952-892-2650
Jacqueline Ann Payne, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 E Nicollet Blvd, Burnsville, MN 55337 Phone: 952-892-2000
Barbara A Fox, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 E. Nicollet Blvd, Burnsville, MN 55337 Phone: 952-892-2000
Jennifer L Cole, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 675 E Nicollet Blvd, #225, Burnsville, MN 55337 Phone: 952-892-2661
Danielle Schoenbauer, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 Cobblestone Ln, Burnsville, MN 55337 Phone: 952-460-4960

Matthew A Walczak, OTR/L - Medicare Occupational Therapist in Burnsville, MN