Mrs Angelique Marie Wilcox, OTR/L, OTD is a medicare enrolled "Occupational Therapist" provider in Waverly, Tennessee. Her current practice location is
895 Powers Blvd, Waverly, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(931) 296-7552.
Mrs Angelique Marie Wilcox is licensed to practice in Tennessee (license number 4488) 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 1417228628.
Healthcare Provider's Profile
Full Name | Mrs Angelique Marie Wilcox |
---|
Gender | Female |
---|
Speciality | Occupational Therapist |
---|
Location | 895 Powers Blvd, Waverly, Tennessee |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1417228628
- Provider Enumeration Date: 01/19/2012
- Last Update Date: 01/19/2012
Medicare PECOS Information:
- PECOS PAC ID: 3779940911
- Enrollment ID: I20230605000362
Medical Identifiers
Medical identifiers for Mrs Angelique Marie Wilcox such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417228628 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 4488 (Tennessee) | 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 Angelique Marie Wilcox allows following entities to bill medicare on her behalf.
Provider Name | Affordable Home Health Care Llc |
---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
---|
Provider Identifiers | NPI Number: 1861413999 PECOS PAC ID: 9739192147 Enrollment ID: O20130129000550 |
---|
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 Angelique Marie Wilcox 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 Angelique Marie Wilcox, OTR/L, OTD 1489 Nichols Dr Apt B, Clarksville, TN 37042-1894 Ph: (419) 306-7355 | Mrs Angelique Marie Wilcox, OTR/L, OTD 895 Powers Blvd, Waverly, TN 37185-1018 Ph: (931) 296-7552 |
Reviews and Comments