Mr Andrew Jason Dichsen, OTR/L in O Fallon, IL - Medicare Occupational Therapist Provider

Mr Andrew Jason Dichsen, OTR/L is a medicare enrolled "Occupational Therapist" provider in O Fallon, Illinois. His current practice location is 1022 E Wesley Dr, O Fallon, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 744-6613.

Mr Andrew Jason Dichsen is licensed to practice in Illinois (license number 056003353) 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 1134836786.

Contact Information

	Mr Andrew Jason Dichsen, OTR/L
	1022 E Wesley Dr, O Fallon, IL 62269-6136
	(618) 744-6613
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Andrew Jason Dichsen
Gender	Male
Speciality	Occupational Therapist
Location	1022 E Wesley Dr, O Fallon, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134836786
Provider Enumeration Date: 11/02/2022
Last Update Date: 11/16/2022

Medicare PECOS Information:

PECOS PAC ID: 7315316965
Enrollment ID: I20221203000562

Medical Identifiers

Medical identifiers for Mr Andrew Jason Dichsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134836786	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225XP0019X	Occupational Therapist - Physical Rehabilitation	056003353 (Illinois)	Secondary
225X00000X	Occupational Therapist	056003353 (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. Mr Andrew Jason Dichsen allows following entities to bill medicare on his behalf.

Provider Name	Powerback Rehabilitation Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1982018362 PECOS PAC ID: 2365359932 Enrollment ID: O20141024000284

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. Mr Andrew Jason Dichsen 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
Mr Andrew Jason Dichsen, OTR/L 616 Dustin Ln, O Fallon, IL 62269-6102 Ph: (618) 830-8602	Mr Andrew Jason Dichsen, OTR/L 1022 E Wesley Dr, O Fallon, IL 62269-6136 Ph: (618) 744-6613

Reviews and Comments

Occupational Therapist in O Fallon, IL

Amanda Terstriep, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 634 N Main St, Suite 5, O Fallon, IL 62269 Phone: 618-690-0068 Fax: 888-452-2930
Shauna Rittenhouse, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 634 N Main St, Ste 1, O Fallon, IL 62269 Phone: 618-690-0068 Fax: 888-452-2930
Jayme P Osterhout, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 Weber Rd, O Fallon, IL 62269 Phone: 618-624-6000
Asia Makanani Sato, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 821 W Highway 50 Ste 150, O Fallon, IL 62269 Phone: 618-726-0370
Mae Arabelle Reyes Holmes, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 856 Chesapeake Junction Ln, O Fallon, IL 62269 Phone: 618-789-4223
Megan Frey, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Saint Elizabeth Blvd, O Fallon, IL 62269 Phone: 618-234-2120

Mr Andrew Jason Dichsen, OTR/L - Medicare Occupational Therapist in O Fallon, IL