Mrs Janesse Banom, OTR/L is a medicare enrolled "Occupational Therapist" provider in Allenwood, New Jersey. Her current practice location is
2350 Hospital Rd, Allenwood, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(732) 683-8600.
Mrs Janesse Banom is licensed to practice in * (Not Available) (license number ) 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 1396492583.
Healthcare Provider's Profile
Full Name | Mrs Janesse Banom |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 2350 Hospital Rd, Allenwood, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1396492583
- Provider Enumeration Date: 03/07/2022
- Last Update Date: 03/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 9537692496
- Enrollment ID: I20241030002579
Medical Identifiers
Medical identifiers for Mrs Janesse Banom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396492583 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | (* (Not Available)) | 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 Janesse Banom allows following entities to bill medicare on her behalf.
Provider Name | Achieve At Home Therapy Services |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1033867189 PECOS PAC ID: 2264819762 Enrollment ID: O20220524000213 |
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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 Janesse Banom 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 Janesse Banom, OTR/L 165 Applegarth Rd, Monroe Township, NJ 08831-5905 Ph: (407) 749-3151 | Mrs Janesse Banom, OTR/L 2350 Hospital Rd, Allenwood, NJ 08720-7037 Ph: (732) 683-8600 |
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