Mrs Koiki Xan Hallberg, OTR in Ortonville, MI - Medicare Occupational Therapist Provider

Mrs Koiki Xan Hallberg, OTR is a medicare enrolled "Occupational Therapist" provider in Ortonville, Michigan. Her current practice location is 1999 Oakwood Rd, Ortonville, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 627-2177.

Mrs Koiki Xan Hallberg is licensed to practice in Michigan (license number 5201004539) 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 1962633552.

Contact Information

	Mrs Koiki Xan Hallberg, OTR
	1999 Oakwood Rd, Ortonville, MI 48462-8536
	(248) 627-2177
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Koiki Xan Hallberg
Gender	Female
Speciality	Occupational Therapist
Location	1999 Oakwood Rd, Ortonville, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962633552
Provider Enumeration Date: 07/31/2009
Last Update Date: 04/27/2015

Medicare PECOS Information:

PECOS PAC ID: 3971540147
Enrollment ID: I20050411000304

Medical Identifiers

Medical identifiers for Mrs Koiki Xan Hallberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962633552	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	5201004539 (Michigan)	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 Koiki Xan Hallberg allows following entities to bill medicare on her behalf.

Provider Name	Powerback Rehabilitation Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1912226366 PECOS PAC ID: 2365359932 Enrollment ID: O20101207000651

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 Koiki Xan Hallberg 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 Koiki Xan Hallberg, OTR 1999 Oakwood Rd, Ortonville, MI 48462-8536 Ph: (248) 627-2177	Mrs Koiki Xan Hallberg, OTR 1999 Oakwood Rd, Ortonville, MI 48462-8536 Ph: (248) 627-2177

Reviews and Comments

Occupational Therapist in Ortonville, MI

Joanne Pham, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1660 S Ortonville Rd, Ortonville, MI 48462 Phone: 248-627-4084
Rachel Roberts, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 609 S Ortonville Rd, Ortonville, MI 48462 Phone: 248-627-1800
Mrs. Jodie Kay Sarginson, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1660 S Ortonville Rd, Ortonville, MI 48462 Phone: 248-627-4084 Fax: 248-627-4998

Mrs Koiki Xan Hallberg, OTR - Medicare Occupational Therapist in Ortonville, MI