Mr Jason Michael Thavenet, MOT,OTR/L,CHT in Libertyville, IL - Medicare Occupational Therapist Provider

Mr Jason Michael Thavenet, MOT,OTR/L,CHT is a medicare enrolled "Occupational Therapist" provider in Libertyville, Illinois. His current practice location is 825 S Milwaukee Ave, Libertyville, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 990-5350.

Mr Jason Michael Thavenet is licensed to practice in Illinois (license number 056.008146) 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 1649539115.

Contact Information

	Mr Jason Michael Thavenet, MOT,OTR/L,CHT
	825 S Milwaukee Ave, Libertyville, IL 60048-3218
	(847) 990-5350
	(847) 549-6920

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jason Michael Thavenet
Gender	Male
Speciality	Occupational Therapist
Location	825 S Milwaukee Ave, Libertyville, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649539115
Provider Enumeration Date: 05/03/2012
Last Update Date: 08/01/2023

Medicare PECOS Information:

PECOS PAC ID: 3870733355
Enrollment ID: I20130703000589

Medical Identifiers

Medical identifiers for Mr Jason Michael Thavenet such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649539115	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	056.008146 (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 Jason Michael Thavenet allows following entities to bill medicare on his behalf.

Provider Name	Advocate Health And Hospitals Corporation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064

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 Jason Michael Thavenet 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 Jason Michael Thavenet, MOT,OTR/L,CHT 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900	Mr Jason Michael Thavenet, MOT,OTR/L,CHT 825 S Milwaukee Ave, Libertyville, IL 60048-3218 Ph: (847) 990-5350

Reviews and Comments

Occupational Therapist in Libertyville, IL

Mrs. Kathleen C Piazzi, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1352 S Milwaukee Ave, Libertyville, IL 60048 Phone: 847-549-1460
Bhumi Bhatt, MS/OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 S Milwaukee Ave, Ste 200, Libertyville, IL 60048 Phone: 847-918-7947
Renee Lee Emery, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 14595 W Rockland Rd, Libertyville, IL 60048 Phone: 224-504-0635
Alexandria Ford, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1860 W Winchester Rd Ste 108, Libertyville, IL 60048 Phone: 847-573-9486 Fax: 847-549-6139
Lauren Kliska, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1870 W Winchester Rd, Ste 203, Libertyville, IL 60048 Phone: 847-816-7200 Fax: 847-816-7210
Madeleine Michelle Kozak, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 S Milwaukee Ave Ste 220, Libertyville, IL 60048 Phone: 847-918-7947
Jennifer Katherine Dannegger, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 806 Liberty Bell Ln, Libertyville, IL 60048 Phone: 773-531-6279

Mr Jason Michael Thavenet, MOT,OTR/L,CHT - Medicare Occupational Therapist in Libertyville, IL