Miss Alissa Bonjuklian, MS OTR/L is a medicare enrolled "Occupational Therapist" provider in Upper Saddle River, New Jersey. Her current practice location is
29 Gristmill Ln, Upper Saddle River, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(201) 825-0705.
Miss Alissa Bonjuklian is licensed to practice in New Jersey (license number 46TR00650400) 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 1518374461.
Healthcare Provider's Profile
Full Name | Miss Alissa Bonjuklian |
---|
Gender | Female |
---|
Speciality | Occupational Therapist |
---|
Location | 29 Gristmill Ln, Upper Saddle River, New Jersey |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1518374461
- Provider Enumeration Date: 07/11/2014
- Last Update Date: 07/11/2014
Medicare PECOS Information:
- PECOS PAC ID: 0244507929
- Enrollment ID: I20170531001072
Medical Identifiers
Medical identifiers for Miss Alissa Bonjuklian such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518374461 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 46TR00650400 (New Jersey) | 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. Miss Alissa Bonjuklian allows following entities to bill medicare on her behalf.
Provider Name | Affinity Rehabilitation Llp |
---|
Provider Type | Part B Supplier - Clinic/group Practice |
---|
Provider Identifiers | NPI Number: 1346530169 PECOS PAC ID: 4789843376 Enrollment ID: O20120319000314 |
---|
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. Miss Alissa Bonjuklian 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 |
Miss Alissa Bonjuklian, MS OTR/L 29 Gristmill Ln, Upper Saddle River, NJ 07458-1316 Ph: () - | Miss Alissa Bonjuklian, MS OTR/L 29 Gristmill Ln, Upper Saddle River, NJ 07458-1316 Ph: (201) 825-0705 |
Reviews and Comments