Mr Sam P Wipf, OTR/L in Grass Valley, CA - Medicare Occupational Therapist Provider

Mr Sam P Wipf, OTR/L is a medicare enrolled "Occupational Therapist" provider in Grass Valley, California. His current practice location is 396 Dorsey Dr, Grass Valley, California. You can reach out to his office (for appointments etc.) via phone at (530) 272-2273.

Mr Sam P Wipf is licensed to practice in California (license number OT9075) 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 1629261318.

Contact Information

	Mr Sam P Wipf, OTR/L
	396 Dorsey Dr, Grass Valley, CA 95945-5368
	(530) 272-2273
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Sam P Wipf
Gender	Male
Speciality	Occupational Therapist
Location	396 Dorsey Dr, Grass Valley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629261318
Provider Enumeration Date: 08/25/2007
Last Update Date: 08/25/2007

Medicare PECOS Information:

PECOS PAC ID: 7113392879
Enrollment ID: I20230411001260

Medical Identifiers

Medical identifiers for Mr Sam P Wipf such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629261318	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT9075 (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 Sam P Wipf allows following entities to bill medicare on his behalf.

Provider Name	Healthpro Heritage Rehab & Fitness Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1750010120 PECOS PAC ID: 6507832573 Enrollment ID: O20220825000338

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 Sam P Wipf 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 Sam P Wipf, OTR/L 1920 Myrtle Ave Apt D, Eureka, CA 95501-1421 Ph: (707) 443-2217	Mr Sam P Wipf, OTR/L 396 Dorsey Dr, Grass Valley, CA 95945-5368 Ph: (530) 272-2273

Reviews and Comments

Occupational Therapist in Grass Valley, CA

Ms. Amber Christine Brose, BS, MOT, SWC, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 415 Sierra College Dr, Grass Valley, CA 95945 Phone: 530-272-8002
Carianne Boucher, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Sierra College Dr Ste 165, Grass Valley, CA 95945 Phone: 530-274-2320
Wanda G Shiotsuka, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10565 Brunswick Road, Grass Valley, CA 95945 Phone: 530-273-4152 Fax: 530-273-4153

Mr Sam P Wipf, OTR/L - Medicare Occupational Therapist in Grass Valley, CA