Mellisa Fanning, OTD in Huntsville, AL - Medicare Occupational Therapist Provider

Mellisa Fanning, OTD is a medicare enrolled "Occupational Therapist" provider in Huntsville, Alabama. Her current practice location is 717 Marina Park Dr Se, Huntsville, Alabama. You can reach out to her office (for appointments etc.) via phone at (256) 684-3368.

Mellisa Fanning is licensed to practice in Alabama (license number 2394) 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 1508456732.

Contact Information

	Mellisa Fanning, OTD
	717 Marina Park Dr Se, Huntsville, AL 35803-3034
	(256) 684-3368
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mellisa Fanning
Gender	Female
Speciality	Occupational Therapist
Location	717 Marina Park Dr Se, Huntsville, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508456732
Provider Enumeration Date: 01/21/2021
Last Update Date: 01/21/2021

Medicare PECOS Information:

PECOS PAC ID: 0648524751
Enrollment ID: I20230921003246

Medical Identifiers

Medical identifiers for Mellisa Fanning such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508456732	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	2394 (Alabama)	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. Mellisa Fanning allows following entities to bill medicare on her behalf.

Provider Name	Functional Pathways Preferred Of Tennessee Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1841561446 PECOS PAC ID: 2860649654 Enrollment ID: O20130213000101

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. Mellisa Fanning 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
Mellisa Fanning, OTD 717 Marina Park Dr Se, Huntsville, AL 35803-3034 Ph: (256) 684-3368	Mellisa Fanning, OTD 717 Marina Park Dr Se, Huntsville, AL 35803-3034 Ph: (256) 684-3368

Reviews and Comments

Occupational Therapist in Huntsville, AL

Pamela L Cook, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2061 Poole Drive, Huntsville, AL 35810 Phone: 256-424-6500
Kaitlin Terry, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 927 Franklin St Se, 2nd Floor, Huntsville, AL 35801 Phone: 256-428-3000 Fax: 256-428-3003
Lisa Holloway, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2701 Meridian St N, Huntsville, AL 35811 Phone: 256-852-5170
Krista Taylor Morgan, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4200 Chris Dr Sw, Huntsville, AL 35802 Phone: 877-407-3422 Fax: 877-407-4329
Jennifer Deanna Hembree, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3313 Memorial Pkwy Sw Ste 122, Huntsville, AL 35801 Phone: 256-883-7338
Joelle Walden, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1622 Pratt Ave Ne, Huntsville, AL 35801 Phone: 217-417-5325
Emma Kaye Grantham, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4769 Whitesburg Dr Se Ste 202, Huntsville, AL 35802 Phone: 256-666-0477 Fax: 256-666-0465

Mellisa Fanning, OTD - Medicare Occupational Therapist in Huntsville, AL