Ms Lisa M Mazzola, OTRL in Fresno, CA - Medicare Occupational Therapist Provider

Ms Lisa M Mazzola, OTRL is a medicare enrolled "Occupational Therapist" provider in Fresno, California. Her current practice location is 7300 N Fresno St, Fresno, California. You can reach out to her office (for appointments etc.) via phone at (559) 448-5280.

Ms Lisa M Mazzola is licensed to practice in Maine (license number OT1257) 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 1760514954.

Contact Information

	Ms Lisa M Mazzola, OTRL
	7300 N Fresno St, Fresno, CA 93720-2942
	(559) 448-5280
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Lisa M Mazzola
Gender	Female
Speciality	Occupational Therapist
Location	7300 N Fresno St, Fresno, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760514954
Provider Enumeration Date: 03/12/2007
Last Update Date: 09/19/2022

Medicare PECOS Information:

PECOS PAC ID: 9234505512
Enrollment ID: I20221012002189

Medical Identifiers

Medical identifiers for Ms Lisa M Mazzola such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760514954	NPI	-	NPPES
199160099	Medicaid	ME
099422	Other	ME	ANTHEM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT1257 (Maine)	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 Lisa M Mazzola allows following entities to bill medicare on her behalf.

Provider Name	Permanente Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 Lisa M Mazzola 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 Lisa M Mazzola, OTRL 10639 N Dearing Ave, Fresno, CA 93730-3410 Ph: (559) 862-3682	Ms Lisa M Mazzola, OTRL 7300 N Fresno St, Fresno, CA 93720-2942 Ph: (559) 448-5280

Reviews and Comments

Occupational Therapist in Fresno, CA

Mrs. Jamie Stanners, MOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2505 W Shaw Ave, Building A, Fresno, CA 93711 Phone: 559-228-9100 Fax: 559-228-9200
Jennifer Pondoc, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 567 S Kona Ave, Fresno, CA 93727 Phone: 559-430-5790
Megan Parke, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2505 W Shaw Ave, Suite #101, Fresno, CA 93711 Phone: 559-228-9100
Maricela Feria, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5756 N Marks Ave Ste 150, Fresno, CA 93711 Phone: 559-307-3828 Fax: 559-844-5540
Mrs. Julie Ann Evans, OTR, CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7108 N Fresno St, Suite 380, Fresno, CA 93720 Phone: 559-903-2386 Fax: 559-451-0564
May Anne Gamueda, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 7300 N Fresno St, Fresno, CA 93720 Phone: 559-448-4500
Ms. Carla Suarez Reyes-cuerva, OT,CHT. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7005 N Maple Ave, Suite 104, Fresno, CA 93720 Phone: 559-325-3503 Fax: 559-325-3504

Ms Lisa M Mazzola, OTRL - Medicare Occupational Therapist in Fresno, CA