Mrs Beverly Wallace, OTR/L in Bradenton, FL - Medicare Occupational Therapy Provider

Mrs Beverly Wallace, OTR/L is a medicare enrolled "Occupational Therapist" provider in Bradenton, Florida. She graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Occupational Therapy. She is a member of the group practice Active Living Rehabilitation Inc and her current practice location is 3911 Golf Park Loop, Suite #105, Bradenton, Florida. You can reach out to her office (for appointments etc.) via phone at (941) 756-1003.

Mrs Beverly Wallace is licensed to practice in Florida (license number OT9730) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174595367.

Contact Information

	Mrs Beverly Wallace, OTR/L
	3911 Golf Park Loop, Suite #105, Bradenton, FL 34203-3453
	(941) 756-1003
	(941) 756-6003

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Beverly Wallace
Gender	Female
Speciality	Occupational Therapy
Experience	24 Years
Location	3911 Golf Park Loop, Bradenton, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Beverly Wallace graduated from medical school in 2000

NPI Data:

NPI Number: 1174595367
Provider Enumeration Date: 02/02/2006
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 0840352118
Enrollment ID: I20081219000488

Medical Identifiers

Medical identifiers for Mrs Beverly Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174595367	NPI	-	NPPES
Y902F	Other	FL	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT9730 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Active Living Rehabilitation Inc	2365352549	3

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 Beverly Wallace allows following entities to bill medicare on her behalf.

Provider Name	Active Living Rehabilitation Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1437362787 PECOS PAC ID: 2365352549 Enrollment ID: O20031215000756

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 Beverly Wallace 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 Beverly Wallace, OTR/L 6477 Indigo Bunting Pl, Bradenton, FL 34202-8246 Ph: (941) 756-1003	Mrs Beverly Wallace, OTR/L 3911 Golf Park Loop, Suite #105, Bradenton, FL 34203-3453 Ph: (941) 756-1003

Reviews and Comments

Occupational Therapist in Bradenton, FL

Rachel Litus, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3823 E State Road 64, Bradenton, FL 34208 Phone: 941-745-5111
Lorin Marie Newingham, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3823 Sr 64 E, Bradenton, FL 34208 Phone: 941-745-5111 Fax: 941-745-5667
Nancy Gibbs, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2020 59th St W, Bradenton, FL 34209 Phone: 941-798-6557 Fax: 941-567-2775
Mr. Michael T Rozmus, OT/CHT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 6015 Pointe West Blvd, Bradenton, FL 34209 Phone: 941-792-1404 Fax: 941-795-1717
Claire Carr, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3823 E State Road 64, Bradenton, FL 34208 Phone: 941-745-5111 Fax: 941-745-5667
Cinnamon Lee Evans, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3823 E State Road 64, Bradenton, FL 34208 Phone: 941-745-5111 Fax: 941-745-5667
Ability Home Transitions Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1107 131st St E, Bradenton, FL 34212 Phone: 724-464-7801

Mrs Beverly Wallace, OTR/L - Medicare Occupational Therapist in Bradenton, FL