Miss Queenie Ann Atillo, OT L in Roseville, CA - Medicare Occupational Therapist Provider

Miss Queenie Ann Atillo, OT L is a medicare enrolled "Occupational Therapist" provider in Roseville, California. Her current practice location is 1600 Eureka Rd, Roseville, California. You can reach out to her office (for appointments etc.) via phone at (916) 482-0465.

Miss Queenie Ann Atillo is licensed to practice in California (license number OT 3084) 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 1467656611.

Contact Information

	Miss Queenie Ann Atillo, OT L
	1600 Eureka Rd, Roseville, CA 95661
	(916) 482-0465
	(916) 482-7813

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Queenie Ann Atillo
Gender	Female
Speciality	Occupational Therapist
Location	1600 Eureka Rd, Roseville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467656611
Provider Enumeration Date: 06/12/2007
Last Update Date: 06/06/2018

Medicare PECOS Information:

PECOS PAC ID: 3971978271
Enrollment ID: I20230418001291

Medical Identifiers

Medical identifiers for Miss Queenie Ann Atillo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467656611	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT 3084 (California)	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. Miss Queenie Ann Atillo allows following entities to bill medicare on her behalf.

Provider Name	Valley Rehabilitation Partners
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1669094462 PECOS PAC ID: 4981025681 Enrollment ID: O20200604003161

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. Miss Queenie Ann Atillo 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
Miss Queenie Ann Atillo, OT L 4560 Se International Way, Suite 100 Consonus Healthcare Services, Milwaukie, OR 97222 Ph: (971) 206-5129	Miss Queenie Ann Atillo, OT L 1600 Eureka Rd, Roseville, CA 95661 Ph: (916) 482-0465

Reviews and Comments

Occupational Therapist in Roseville, CA

Tessa Tsai, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 151 N Sunrise Ave Ste 1105, Roseville, CA 95661 Phone: 916-771-8255 Fax: 916-771-8211
Brittany Harlan, MS Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 151 N Sunrise Ave Ste 1105, Roseville, CA 95661 Phone: 916-771-8255 Fax: 916-771-8211
Elisa Kim Kwon, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10001 Woodcreek Oaks Blvd, #1311, Roseville, CA 95747 Phone: 916-749-4432
Jill Davidson Mason, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 151 N Sunrise Ave Ste 1105, Roseville, CA 95661 Phone: 916-771-8255 Fax: 916-771-8211
Frieda L Gutierrez, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2400 Pleasant Grove Blvd, Roseville, CA 95747 Phone: 916-566-5758
Valerie Haskins, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 151 N Sunrise Ave, Suite 1105, Roseville, CA 95661 Phone: 916-771-8255
Anna G Lee, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 3 Medical Plaza Dr Ste 100, Roseville, CA 95661 Phone: 916-797-4734

Miss Queenie Ann Atillo, OT L - Medicare Occupational Therapist in Roseville, CA