Ms Conchita Solomon, OTR/L is a medicare enrolled "Occupational Therapist" provider in Island Park, New York. Her current practice location is
4302 Broadway, Island Park, New York. You can reach out to her office (for appointments etc.) via phone at
(516) 644-0674.
Ms Conchita Solomon is licensed to practice in New York (license number 017034-1) 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 1700146636.
Healthcare Provider's Profile
Full Name | Ms Conchita Solomon |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 4302 Broadway, Island Park, New York |
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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: 1700146636
- Provider Enumeration Date: 05/25/2012
- Last Update Date: 03/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 8729235197
- Enrollment ID: I20120821000370
Medical Identifiers
Medical identifiers for Ms Conchita Solomon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700146636 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 017034-1 (New York) | 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. Ms Conchita Solomon allows following entities to bill medicare on her behalf.
Provider Name | Jjw Occupational Therapy Pc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1972193365 PECOS PAC ID: 2961818257 Enrollment ID: O20210311001191 |
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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. Ms Conchita Solomon 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 |
Ms Conchita Solomon, OTR/L 4302 Broadway, Island Park, NY 11558-1601 Ph: (516) 644-0674 | Ms Conchita Solomon, OTR/L 4302 Broadway, Island Park, NY 11558-1601 Ph: (516) 644-0674 |
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