Paul Lindsay Pettyjohn, OT in Glendale, CA - Medicare Occupational Therapist Provider

Paul Lindsay Pettyjohn, OT is a medicare enrolled "Occupational Therapist" provider in Glendale, California. His current practice location is 500 N Central Ave Ste 850, Glendale, California. You can reach out to his office (for appointments etc.) via phone at (818) 549-9764.

Paul Lindsay Pettyjohn is licensed to practice in California (license number 15275) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1952469686.

Contact Information

	Paul Lindsay Pettyjohn, OT
	500 N Central Ave Ste 850, Glendale, CA 91203-3354
	(818) 549-9764
	(818) 549-9767

Map and Direction

Healthcare Provider's Profile

Full Name	Paul Lindsay Pettyjohn
Gender	Male
Speciality	Occupational Therapist
Location	500 N Central Ave Ste 850, Glendale, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952469686
Provider Enumeration Date: 12/05/2006
Last Update Date: 08/30/2021

Medicare PECOS Information:

PECOS PAC ID: 2466446166
Enrollment ID: I20160405002485

Medical Identifiers

Medical identifiers for Paul Lindsay Pettyjohn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952469686	NPI	-	NPPES
15275	Other	CA	OCCUPATIONAL THERAPY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	15275 (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. Paul Lindsay Pettyjohn allows following entities to bill medicare on his behalf.

Provider Name	United Therapy Network Incorporated
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1669691051 PECOS PAC ID: 9234022369 Enrollment ID: O20050615001046

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. Paul Lindsay Pettyjohn 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
Paul Lindsay Pettyjohn, OT 1845 Business Center Dr Ste 127, San Bernardino, CA 92408-3434 Ph: (909) 890-9030	Paul Lindsay Pettyjohn, OT 500 N Central Ave Ste 850, Glendale, CA 91203-3354 Ph: (818) 549-9764

Reviews and Comments

Occupational Therapist in Glendale, CA

Tiffanie Melumar Pon, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 516 Salem St, Glendale, CA 91203 Phone: 415-509-4089
Ms. Edit Kathy Keshishyan, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1018 Elm Ave, Glendale, CA 91201 Phone: 818-288-3334
Natalie Keleshyan, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1032 Zook Dr, Glendale, CA 91202 Phone: 323-695-9462
Varand Musakhanyan, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 330 Mission Road, Glendale, CA 91205 Phone: 818-247-4476
Amy Micheletti, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 N Brand Blvd Unit 200, Glendale, CA 91203 Phone: 310-376-6098
Mrs. Angela Galstyan, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 315 Arden Ave Ste 14, Glendale, CA 91203 Phone: 818-434-5120
Mrs. Melissa Jazmines-broersma, OTD, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1714 Arlington Ave, Glendale, CA 91208 Phone: 818-636-1409

Paul Lindsay Pettyjohn, OT - Medicare Occupational Therapist in Glendale, CA