Maya Renee Delport, OTR/L in Hudson, WI - Medicare Occupational Therapist Provider

Maya Renee Delport, OTR/L is a medicare enrolled "Occupational Therapist" provider in Hudson, Wisconsin. Her current practice location is 624 Galahad Rd N, Hudson, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 441-3325.

Maya Renee Delport is licensed to practice in Minnesota (license number 105837) 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 1275183154.

Contact Information

	Maya Renee Delport, OTR/L
	624 Galahad Rd N, Hudson, WI 54016-1040
	(715) 441-3325
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Maya Renee Delport
Gender	Female
Speciality	Occupational Therapist
Location	624 Galahad Rd N, Hudson, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275183154
Provider Enumeration Date: 09/12/2019
Last Update Date: 09/24/2019

Medicare PECOS Information:

PECOS PAC ID: 0941673313
Enrollment ID: I20230306001619

Medical Identifiers

Medical identifiers for Maya Renee Delport such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275183154	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	105837 (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. Maya Renee Delport allows following entities to bill medicare on her behalf.

Provider Name	Odom Sports Medicine Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1275557886 PECOS PAC ID: 0143485607 Enrollment ID: O20120706000533

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. Maya Renee Delport 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
Maya Renee Delport, OTR/L 624 Galahad Rd N, Hudson, WI 54016-1040 Ph: (715) 441-3325	Maya Renee Delport, OTR/L 624 Galahad Rd N, Hudson, WI 54016-1040 Ph: (715) 441-3325

Reviews and Comments

Occupational Therapist in Hudson, WI

Nicole Marie Chisholm, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2705 Enloe St, Hudson, WI 54016 Phone: 715-690-2600 Fax: 715-381-8131
Caroline Kay Williamson, OTR L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2705 Enloe St, Hudson, WI 54016 Phone: 715-386-2128
Jennifer Marie Cook, BSW, MA OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 742 Sterbenz Dr, St Croix Therapy Inc, Hudson, WI 54016 Phone: 715-386-2128 Fax: 715-386-6119
Caroline Mccleary, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 742 Sterbenz Dr, Hudson, WI 54016 Phone: 715-386-2128
Alecia Lyn Dadez, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 742 Sterbenz Dr, Hudson, WI 54016 Phone: 715-386-2128
Malorie Morgan Richer, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2705 Enloe St, Hudson, WI 54016 Phone: 715-690-2600
Heather May Simmel, MOTR/L, CLT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 405 Stageline Rd, Hudson, WI 54016 Phone: 715-531-6321

Maya Renee Delport, OTR/L - Medicare Occupational Therapist in Hudson, WI