Mr Brian Leee Mercado Bautista, OTR/L in Palm Desert, CA - Medicare Occupational Therapist Provider

Mr Brian Leee Mercado Bautista, OTR/L is a medicare enrolled "Occupational Therapist" provider in Palm Desert, California. His current practice location is 74516 Gary Ave, Palm Desert, California. You can reach out to his office (for appointments etc.) via phone at (575) 499-3975.

Mr Brian Leee Mercado Bautista is licensed to practice in California (license number 12508) 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 1356999247.

Contact Information

	Mr Brian Leee Mercado Bautista, OTR/L
	74516 Gary Ave, Palm Desert, CA 92260-2020
	(575) 499-3975
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Brian Leee Mercado Bautista
Gender	Male
Speciality	Occupational Therapist
Location	74516 Gary Ave, Palm Desert, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356999247
Provider Enumeration Date: 09/03/2019
Last Update Date: 09/03/2019

Medicare PECOS Information:

PECOS PAC ID: 1355769126
Enrollment ID: I20200910000618

Medical Identifiers

Medical identifiers for Mr Brian Leee Mercado Bautista such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356999247	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	12508 (California)	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 Brian Leee Mercado Bautista allows following entities to bill medicare on his behalf.

Provider Name	On The Move Rehab
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1356710925 PECOS PAC ID: 6709195316 Enrollment ID: O20151022000752

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 Brian Leee Mercado Bautista 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 Brian Leee Mercado Bautista, OTR/L 74516 Gary Ave, Palm Desert, CA 92260-2020 Ph: (575) 499-3975	Mr Brian Leee Mercado Bautista, OTR/L 74516 Gary Ave, Palm Desert, CA 92260-2020 Ph: (575) 499-3975

Reviews and Comments

Occupational Therapist in Palm Desert, CA

Diana E Melendez, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 77564 Country Club Dr, Suite Number 368b, Palm Desert, CA 92211 Phone: 760-772-2838
Karah Rose Shouse, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 77564 Country Club Dr, Palm Desert, CA 92211 Phone: 760-772-2838 Fax: 760-772-2883
Jonathan Lee, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 43875 Washington St Ste G, Palm Desert, CA 92211 Phone: 760-701-5046 Fax: 888-490-0261
Ms. Ashley Nicole Kwasniuk, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 77564 Country Club Dr Ste 340, Palm Desert, CA 92211 Phone: 760-772-2838 Fax: 760-772-2838
Tiffany Elizabeth Price, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 77564 Country Club Dr Ste 340, Palm Desert, CA 92211 Phone: 760-772-2838
Melissa Francis, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 77564 Country Club Dr Ste 340, Palm Desert, CA 92211 Phone: 760-772-2838
Abdiel Isai Fuentes, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 77564 Country Club Dr Ste 340, Palm Desert, CA 92211 Phone: 760-772-2838 Fax: 760-772-2838

Mr Brian Leee Mercado Bautista, OTR/L - Medicare Occupational Therapist in Palm Desert, CA