Shannon Walter, OTR in Brighton, MI - Medicare Occupational Therapist Provider

Shannon Walter, OTR is a medicare enrolled "Occupational Therapist - Pediatrics" provider in Brighton, Michigan. Her current practice location is 8542 W Grand River Ave, Brighton, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 449-4649.

Shannon Walter is licensed to practice in Michigan (license number 5201007411) 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 1063551729.

Contact Information

	Shannon Walter, OTR
	8542 W Grand River Ave, Brighton, MI 48116-2326
	(734) 449-4649
	(734) 449-4669

Map and Direction

Healthcare Provider's Profile

Full Name	Shannon Walter
Gender	Female
Speciality	Occupational Therapist - Pediatrics
Location	8542 W Grand River Ave, Brighton, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063551729
Provider Enumeration Date: 02/06/2007
Last Update Date: 06/22/2023

Medicare PECOS Information:

PECOS PAC ID: 2668897950
Enrollment ID: I20200804000423

Medical Identifiers

Medical identifiers for Shannon Walter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063551729	NPI	-	NPPES
5201007411	Other	MI	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225XP0200X	Occupational Therapist - Pediatrics	5201007411 (Michigan)	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. Shannon Walter allows following entities to bill medicare on her behalf.

Provider Name	Ivyrehab Michigan Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1104337120 PECOS PAC ID: 6901165893 Enrollment ID: O20180123001245

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. Shannon Walter 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
Shannon Walter, OTR 1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224 Ph: (914) 294-4050	Shannon Walter, OTR 8542 W Grand River Ave, Brighton, MI 48116-2326 Ph: (734) 449-4649

Reviews and Comments

Occupational Therapist in Brighton, MI

Alan Richard Zirkle, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 833 E Grand River Ave, Brighton, MI 48116 Phone: 810-229-9190 Fax: 810-229-7721
Sarah Kowalczyk, MSOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8542 W Grand River Ave, Brighton, MI 48116 Phone: 734-449-4649 Fax: 734-449-4669
Hannah Tarnaski, OTRL Occupational Therapist Medicare: Medicare Enrolled Practice Location: 100 Summit St, Brighton, MI 48116 Phone: 248-378-5059
Shannon Mcbean, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 7030 Whitmore Lake Rd, Brighton, MI 48116 Phone: 248-486-3636 Fax: 810-355-4352
Rachel Rodeheffer, MOT, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 8542 W Grand River Ave, Brighton, MI 48116 Phone: 734-449-4649
Mrs. Alysia Lee Thomas, MOTRL Occupational Therapist Medicare: Medicare Enrolled Practice Location: 9420 Van Antwerp Rd, Brighton, MI 48116 Phone: 248-626-7114

Shannon Walter, OTR - Medicare Occupational Therapist in Brighton, MI