Mrs Martha Vanessa Jackman-bivas, OT in Montclair, NJ - Medicare Occupational Therapist Provider

Mrs Martha Vanessa Jackman-bivas, OT is a medicare enrolled "Occupational Therapist" provider in Montclair, New Jersey. Her current practice location is 111-115 Gates Ave, Montclair, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 746-4616.

Mrs Martha Vanessa Jackman-bivas is licensed to practice in New Jersey (license number 46TR00291700) 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 1992996995.

Contact Information

	Mrs Martha Vanessa Jackman-bivas, OT
	111-115 Gates Ave, Montclair, NJ 07042-2500
	(973) 746-4616
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Martha Vanessa Jackman-bivas
Gender	Female
Speciality	Occupational Therapist
Location	111-115 Gates Ave, Montclair, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992996995
Provider Enumeration Date: 08/05/2007
Last Update Date: 08/05/2007

Medicare PECOS Information:

PECOS PAC ID: 8820124027
Enrollment ID: I20100326000617

Medical Identifiers

Medical identifiers for Mrs Martha Vanessa Jackman-bivas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992996995	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	46TR00291700 (New Jersey)	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 Martha Vanessa Jackman-bivas allows following entities to bill medicare on her behalf.

Provider Name	Active Life Physical Therapy
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1689289324 PECOS PAC ID: 4880014893 Enrollment ID: O20230802000950

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 Martha Vanessa Jackman-bivas 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 Martha Vanessa Jackman-bivas, OT 8 Charles St, 1, Montclair, NJ 07042-2406 Ph: (800) 530-3247	Mrs Martha Vanessa Jackman-bivas, OT 111-115 Gates Ave, Montclair, NJ 07042-2500 Ph: (973) 746-4616

Reviews and Comments

Occupational Therapist in Montclair, NJ

Tatiana Francesca Bruno, COTA Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 17 Watchung Plz, Montclair, NJ 07042 Phone: 973-744-0804
Paige Garramone, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Greenwood Ave, Montclair, NJ 07042 Phone: 973-746-2424 Fax: 973-746-5030
Mrs. Kerry Adams Delaney, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 34 Valley Rd Apt 319, Montclair, NJ 07042 Phone: 201-783-4879
Anne Mathias Monsees, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 42 North Mountain Ave., Montclair, NJ 07042 Phone: 973-783-9400 Fax: 973-783-8499
Ms. Evangelia Sophia Tzelios, MS, OTR/L, LSVT-C Occupational Therapist Medicare: Medicare Enrolled Practice Location: 45 Church St Apt D-12, Montclair, NJ 07042 Phone: 718-702-6928
Wangui N Njoroge, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 69 Alexander Ave, Montclair, NJ 07043 Phone: 973-953-3340
Linda Henriksen, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 111-115 Gates Ave, Rehab Department, Montclair, NJ 07042 Phone: 973-239-7600

Mrs Martha Vanessa Jackman-bivas, OT - Medicare Occupational Therapist in Montclair, NJ