Ms Johanna Whitney Povlock, OTR/L is a medicare enrolled "Occupational Therapist" provider in Memphis, New York. She graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Occupational Therapy. She is a member of the group practice Home Stretch Physical Therapy Pc and her current practice location is
7057 Kingdom Rd, Memphis, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 569-5639.
Ms Johanna Whitney Povlock is licensed to practice in New York (license number 010137-1) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366551491.
Healthcare Provider's Profile
| Full Name | Ms Johanna Whitney Povlock |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapy |
|---|
| Experience | 25 Years |
|---|
| Location | 7057 Kingdom Rd, Memphis, New York |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Ms Johanna Whitney Povlock graduated from medical school in 1999
NPI Data:
- NPI Number: 1366551491
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 10/22/2019
Medicare PECOS Information:
- PECOS PAC ID: 8224007323
- Enrollment ID: I20040927000302
Medical Identifiers
Medical identifiers for Ms Johanna Whitney Povlock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366551491 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 010137-1 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Home Stretch Physical Therapy Pc | 4981996923 | 10 |
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 Johanna Whitney Povlock allows following entities to bill medicare on her behalf.
| Provider Name | Home Stretch Physical Therapy Pc |
|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
|---|
| Provider Identifiers | NPI Number: 1326483785
PECOS PAC ID: 4981996923
Enrollment ID: O20160712000668 |
|---|
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 Johanna Whitney Povlock 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 Johanna Whitney Povlock, OTR/L
7057 Kingdom Rd,
Memphis, NY 13112-8702
Ph: (315) 569-5639 | Ms Johanna Whitney Povlock, OTR/L
7057 Kingdom Rd,
Memphis, NY 13112-8702
Ph: (315) 569-5639 |
Reviews and Comments