Mrs Amanda Street, OT in Tupelo, MS - Medicare Occupational Therapist Provider

Mrs Amanda Street, OT is a medicare enrolled "Occupational Therapist" provider in Tupelo, Mississippi. Her current practice location is 960 Commonwealth Blvd, Tupelo, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 260-3789.

Mrs Amanda Street is licensed to practice in Mississippi (license number OT1818) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1235287517.

Contact Information

	Mrs Amanda Street, OT
	960 Commonwealth Blvd, Tupelo, MS 38804-9762
	(662) 260-3789
	(662) 260-3790

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Amanda Street
Gender	Female
Speciality	Occupational Therapist
Location	960 Commonwealth Blvd, Tupelo, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235287517
Provider Enumeration Date: 01/05/2007
Last Update Date: 06/08/2022

Medicare PECOS Information:

PECOS PAC ID: 9537548698
Enrollment ID: I20220620001451

Medical Identifiers

Medical identifiers for Mrs Amanda Street such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235287517	NPI	-	NPPES
000050976	Other	MS	BCBS
05037726	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT1818 (Mississippi)	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. Mrs Amanda Street allows following entities to bill medicare on her behalf.

Provider Name	Dpti Elite Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1386010718 PECOS PAC ID: 0547579401 Enrollment ID: O20151016001144

Provider Name	Drayer Physical Therapy Mississippi Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1952732448 PECOS PAC ID: 3274834858 Enrollment ID: O20160314001040

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. Mrs Amanda Street 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
Mrs Amanda Street, OT Po Box 822394, Vicksburg, MS 39182-2394 Ph: (601) 638-4076	Mrs Amanda Street, OT 960 Commonwealth Blvd, Tupelo, MS 38804-9762 Ph: (662) 260-3789

Reviews and Comments

Occupational Therapist in Tupelo, MS

Caley O'callaghan Speck, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1211 S Gloster St Ste C, Tupelo, MS 38801 Phone: 662-432-1523
Mallory V Peden, MOT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 960 Commonwealth Blvd, Tupelo, MS 38804 Phone: 662-260-3789 Fax: 662-260-3790
Erin Olivia Goode, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 960 Commonwealth Blvd, Tupelo, MS 38804 Phone: 662-260-3789
Ms. Debra Pasmore Bradsher, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 90 Clark Blvd, Tupelo, MS 38804 Phone: 662-840-0535
Lydia Marie Thomas, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1150 S Green St Ste D, Tupelo, MS 38804 Phone: 601-815-3575
Mrs. Leah Mrs Hawks, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1901 Briar Ridge Rd, Tupelo, MS 38804 Phone: 662-844-0675
Michael Alexander Pannell, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 499 Gloster Creek Vlg Ste F5, Tupelo, MS 38801 Phone: 662-841-0551

Mrs Amanda Street, OT - Medicare Occupational Therapist in Tupelo, MS