Samantha Jo Sanders, OTR/L is a medicare enrolled "Occupational Therapist" provider in Douglas, Massachusetts. Her current practice location is
28 Maple St #467, Douglas, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(214) 418-7902.
Samantha Jo Sanders is licensed to practice in Massachusetts (license number 14527) 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 1801516224.
Healthcare Provider's Profile
| Full Name | Samantha Jo Sanders |
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| Gender | Female |
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| Speciality | Occupational Therapist |
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| Location | 28 Maple St #467, Douglas, Massachusetts |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1801516224
- Provider Enumeration Date: 08/29/2022
- Last Update Date: 08/29/2022
Medicare PECOS Information:
- PECOS PAC ID: 6608224985
- Enrollment ID: I20231127002956
Medical Identifiers
Medical identifiers for Samantha Jo Sanders such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801516224 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | OT.0004858 (Colorado) | Secondary |
| 225X00000X | Occupational Therapist | OT-2408 (Idaho) | Secondary |
| 225X00000X | Occupational Therapist | 14527 (Massachusetts) | 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. Samantha Jo Sanders allows following entities to bill medicare on her behalf.
| Provider Name | Public Hospital District No 4 King County Washington |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1902846546
PECOS PAC ID: 6002700861
Enrollment ID: O20040211001236 |
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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. Samantha Jo Sanders 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 |
|---|
Samantha Jo Sanders, OTR/L
28 Maple St #467,
Douglas, MA 01516
Ph: () - | Samantha Jo Sanders, OTR/L
28 Maple St #467,
Douglas, MA 01516
Ph: (214) 418-7902 |
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