Mr Gabriel O John, OTR/L in Columbia, MD - Medicare Occupational Therapist Provider

Mr Gabriel O John, OTR/L is a medicare enrolled "Occupational Therapist" provider in Columbia, Maryland. His current practice location is 7217 Carved Stone, Columbia, Maryland. You can reach out to his office (for appointments etc.) via phone at (018) 524-6803.

Mr Gabriel O John is licensed to practice in Maryland (license number 08486) 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 1912492190.

Contact Information

	Mr Gabriel O John, OTR/L
	7217 Carved Stone, Columbia, MD 21045-5249
	(018) 524-6803
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Gabriel O John
Gender	Male
Speciality	Occupational Therapist
Location	7217 Carved Stone, Columbia, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912492190
Provider Enumeration Date: 06/29/2018
Last Update Date: 06/29/2018

Medicare PECOS Information:

PECOS PAC ID: 6002270907
Enrollment ID: I20230911003736

Medical Identifiers

Medical identifiers for Mr Gabriel O John such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912492190	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	08486 (Maryland)	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 Gabriel O John allows following entities to bill medicare on his behalf.

Provider Name	Synergy Care Southeast, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1427466614 PECOS PAC ID: 6204079163 Enrollment ID: O20141017000587

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 Gabriel O John 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 Gabriel O John, OTR/L 7217 Carved Stone, Columbia, MD 21045-5249 Ph: (301) 852-4680	Mr Gabriel O John, OTR/L 7217 Carved Stone, Columbia, MD 21045-5249 Ph: (018) 524-6803

Reviews and Comments

Occupational Therapist in Columbia, MD

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Mr Gabriel O John, OTR/L - Medicare Occupational Therapist in Columbia, MD