Minetta Wallingford, OTR/L in Riverside, IL - Medicare Occupational Therapist Provider

Minetta Wallingford, OTR/L is a medicare enrolled "Occupational Therapist" provider in Riverside, Illinois. Her current practice location is 423 Addison Rd, Riverside, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 715-8463.

Minetta Wallingford is licensed to practice in Illinois (license number 056.003498) 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 1174160634.

Contact Information

	Minetta Wallingford, OTR/L
	423 Addison Rd, Riverside, IL 60546-2007
	(773) 715-8463
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Minetta Wallingford
Gender	Female
Speciality	Occupational Therapist
Location	423 Addison Rd, Riverside, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174160634
Provider Enumeration Date: 12/04/2019
Last Update Date: 12/04/2019

Medicare PECOS Information:

PECOS PAC ID: 3274980222
Enrollment ID: I20231113001596

Medical Identifiers

Medical identifiers for Minetta Wallingford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174160634	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	056.003498 (Illinois)	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. Minetta Wallingford allows following entities to bill medicare on her behalf.

Provider Name	Moxie Ot Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1730776626 PECOS PAC ID: 9335556828 Enrollment ID: O20210330000682

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. Minetta Wallingford 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
Minetta Wallingford, OTR/L 423 Addison Rd, Riverside, IL 60546-2007 Ph: () -	Minetta Wallingford, OTR/L 423 Addison Rd, Riverside, IL 60546-2007 Ph: (773) 715-8463

Reviews and Comments

Occupational Therapist in Riverside, IL

Jennifer Lynn Cameron, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 65 E Quincy St, Riverside, IL 60546 Phone: 708-296-0632
Mary Gabriella Ocallaghan, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 116 Forest Ave, Riverside, IL 60546 Phone: 312-391-4582
John Boharic, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 348 Eastgrove Rd, Riverside, IL 60546 Phone: 708-829-7331
Amy E Mooney, MS OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 Kent Rd, Riverside, IL 60546 Phone: 708-627-1910
Growing Places Pediatric Therapy Pllc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 527 Selborne Rd, Riverside, IL 60546 Phone: 708-325-3320

Minetta Wallingford, OTR/L - Medicare Occupational Therapist in Riverside, IL