Rachel Ann Divine, OT in Ridgeland, MS - Medicare Occupational Therapist Provider

Rachel Ann Divine, OT is a medicare enrolled "Occupational Therapist" provider in Ridgeland, Mississippi. Her current practice location is 950 E County Line Rd Ste E, Ridgeland, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 853-9747.

Rachel Ann Divine is licensed to practice in Mississippi (license number OT3979) 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 1356078414.

Contact Information

	Rachel Ann Divine, OT
	950 E County Line Rd Ste E, Ridgeland, MS 39157-1928
	(601) 853-9747
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Rachel Ann Divine
Gender	Female
Speciality	Occupational Therapist
Location	950 E County Line Rd Ste E, Ridgeland, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356078414
Provider Enumeration Date: 08/08/2022
Last Update Date: 08/08/2022

Medicare PECOS Information:

PECOS PAC ID: 7214311331
Enrollment ID: I20220908001339

Medical Identifiers

Medical identifiers for Rachel Ann Divine such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356078414	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT3979 (Mississippi)	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. Rachel Ann Divine allows following entities to bill medicare on her behalf.

Provider Name	Drayer Physical Therapy Mississippi Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1952732448 PECOS PAC ID: 3274834858 Enrollment ID: O20160314001040

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. Rachel Ann Divine 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
Rachel Ann Divine, OT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 206-4158	Rachel Ann Divine, OT 950 E County Line Rd Ste E, Ridgeland, MS 39157-1928 Ph: (601) 853-9747

Reviews and Comments

Occupational Therapist in Ridgeland, MS

Alicia Windham, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 711 Avignon Dr, Ridgeland, MS 39157 Phone: 601-605-6777 Fax: 601-607-1392
Mary Spencer, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 207 W Jackson St, Ridgeland, MS 39157 Phone: 601-427-5703
Daniel M. Sowers, MOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 114 Timbercrest Dr, Ridgeland, MS 39157 Phone: 601-201-7706
Mrs. Tarah Aurelia Mannery, OTR/L, MS Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 731 Avignon Dr Ste 4, Ridgeland, MS 39157 Phone: 601-300-2624 Fax: 601-510-3512
Robin S Mccaffery, OTR/L, BCP Occupational Therapist Medicare: Medicare Enrolled Practice Location: 950 E County Line Rd Ste E, Ridgeland, MS 39157 Phone: 601-853-9747 Fax: 601-898-4761
Trenise Saverin Reed, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 950 E County Line Rd, Suite E, Ridgeland, MS 39157 Phone: 601-853-8747 Fax: 601-898-4761
Margaret Edwards, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 950 E County Line Rd, Suite E, Ridgeland, MS 39157 Phone: 601-853-9747 Fax: 601-898-4761

Rachel Ann Divine, OT - Medicare Occupational Therapist in Ridgeland, MS