Preston Roger Poulter, OTR/L MSOT in Idaho Falls, ID - Medicare Occupational Therapist Provider

Preston Roger Poulter, OTR/L MSOT is a medicare enrolled "Occupational Therapist" provider in Idaho Falls, Idaho. His current practice location is 564 S Woodruff Ave, Idaho Falls, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 523-7571.

Preston Roger Poulter is licensed to practice in Idaho (license number OT-2860) 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 1154172245.

Contact Information

	Preston Roger Poulter, OTR/L MSOT
	564 S Woodruff Ave, Idaho Falls, ID 83401-5298
	(208) 523-7571
	(208) 523-7573

Map and Direction

Healthcare Provider's Profile

Full Name	Preston Roger Poulter
Gender	Male
Speciality	Occupational Therapist
Location	564 S Woodruff Ave, Idaho Falls, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154172245
Provider Enumeration Date: 03/28/2024
Last Update Date: 04/02/2024

Medicare PECOS Information:

PECOS PAC ID: 0547609992
Enrollment ID: I20240417003047

Medical Identifiers

Medical identifiers for Preston Roger Poulter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154172245	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT-2860 (Idaho)	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. Preston Roger Poulter allows following entities to bill medicare on his behalf.

Provider Name	Idaho Falls Hand Therapy Limited Partnership
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1134625338 PECOS PAC ID: 5496002396 Enrollment ID: O20180724001924

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. Preston Roger Poulter 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
Preston Roger Poulter, OTR/L MSOT 564 S Woodruff Ave, Idaho Falls, ID 83401-5298 Ph: (208) 523-7571	Preston Roger Poulter, OTR/L MSOT 564 S Woodruff Ave, Idaho Falls, ID 83401-5298 Ph: (208) 523-7571

Reviews and Comments

Occupational Therapist in Idaho Falls, ID

Brian Lane Olson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 510 E 17th St # 400, Idaho Falls, ID 83404 Phone: 208-589-0807
Mrs. Heidi Maxine Boyle, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3715 Woodking Dr, Idaho Falls, ID 83404 Phone: 208-529-2255
Perry Rex Lords, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1460 Elk Creek Dr, Idaho Falls, ID 83404 Phone: 208-535-1286
Hannah Golden, MOTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1460 Elk Creek, Idaho Falls, ID 83404 Phone: 208-535-1286
Nicole Taylor Kamerman, MOT/R Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3814 Washington Pkwy, Idaho Falls, ID 83404 Phone: 208-360-4584
Aaron Ashton May, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3111 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-0067
Caroline Olivia Menser, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1460 Elk Creek Dr, Idaho Falls, ID 83404 Phone: 208-535-1286

Preston Roger Poulter, OTR/L MSOT - Medicare Occupational Therapist in Idaho Falls, ID