Mrs Michelle Lynn Bryan, OT is a medicare enrolled "Occupational Therapist" provider in Logansport, Indiana. Her current practice location is
1101 Michigan Ave, Logansport, Indiana. You can reach out to her office (for appointments etc.) via phone at
(574) 753-1380.
Mrs Michelle Lynn Bryan is licensed to practice in Indiana (license number 31002229A) 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 1346246451.
Healthcare Provider's Profile
Full Name | Mrs Michelle Lynn Bryan |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 1101 Michigan Ave, Logansport, Indiana |
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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: 1346246451
- Provider Enumeration Date: 06/23/2005
- Last Update Date: 08/18/2022
Medicare PECOS Information:
- PECOS PAC ID: 9931584026
- Enrollment ID: I20220909000761
Medical Identifiers
Medical identifiers for Mrs Michelle Lynn Bryan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346246451 | NPI | - | NPPES |
000000179073 | Other | IN | ANTHEM BLUE CROSS |
351780783 | Other | IN | ALL OTHER INSURANCES |
351780783 | Other | IN | SAGAMORE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 31002229A (Indiana) | 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 Michelle Lynn Bryan allows following entities to bill medicare on her behalf.
Provider Name | Memorial Hospital |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1942317656 PECOS PAC ID: 8123923281 Enrollment ID: O20031206000001 |
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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 Michelle Lynn Bryan 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 Michelle Lynn Bryan, OT 516 Greenlawn Dr, Logansport, IN 46947-1316 Ph: (574) 753-1380 | Mrs Michelle Lynn Bryan, OT 1101 Michigan Ave, Logansport, IN 46947-1528 Ph: (574) 753-1380 |
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