Sarah Ann Sirivong, OTR/L is a medicare enrolled "Occupational Therapist" provider in Carver, Minnesota. Her current practice location is
920 6th St W, Carver, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(479) 201-6058.
Sarah Ann Sirivong is licensed to practice in Minnesota (license number 106124) 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 1306538939.
Healthcare Provider's Profile
| Full Name | Sarah Ann Sirivong |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 920 6th St W, Carver, Minnesota |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1306538939
- Provider Enumeration Date: 05/23/2023
- Last Update Date: 05/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 5193186369
- Enrollment ID: I20230803003305
Medical Identifiers
Medical identifiers for Sarah Ann Sirivong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306538939 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 106124 (Minnesota) | 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. Sarah Ann Sirivong allows following entities to bill medicare on her behalf.
| Provider Name | Aegis Group Practice Llc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1417340126
PECOS PAC ID: 5193036432
Enrollment ID: O20150612001586 |
|---|
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. Sarah Ann Sirivong 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 |
|---|
Sarah Ann Sirivong, OTR/L
1504 Ironwood Dr,
Carver, MN 55315-4622
Ph: (952) 454-0318 | Sarah Ann Sirivong, OTR/L
920 6th St W,
Carver, MN 55315-4559
Ph: (479) 201-6058 |
Reviews and Comments