Shelly Sontag-johnson, in Andover, MN - Medicare Occupational Therapist Provider

Shelly Sontag-johnson, is a medicare enrolled "Occupational Therapist - Pediatrics" provider in Andover, Minnesota. Her current practice location is 1891 Station Pkwy Nw, Andover, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 755-4275.

Shelly Sontag-johnson is licensed to practice in * (Not Available) (license number ) 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 1164018263.

Contact Information

	Shelly Sontag-johnson,
	1891 Station Pkwy Nw, Andover, MN 55304-3341
	(763) 755-4275
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shelly Sontag-johnson
Gender	Female
Speciality	Occupational Therapist - Pediatrics
Location	1891 Station Pkwy Nw, Andover, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164018263
Provider Enumeration Date: 12/14/2020
Last Update Date: 12/14/2020

Medicare PECOS Information:

PECOS PAC ID: 5193130391
Enrollment ID: I20210222001577

Medical Identifiers

Medical identifiers for Shelly Sontag-johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164018263	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225XP0200X	Occupational Therapist - Pediatrics	(* (Not Available))	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. Shelly Sontag-johnson allows following entities to bill medicare on her behalf.

Provider Name	Family Speech & Therapy Services Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1235285966 PECOS PAC ID: 8022335397 Enrollment ID: O20150325001650

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. Shelly Sontag-johnson 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
Shelly Sontag-johnson, 1891 Station Pkwy Nw, Andover, MN 55304-3341 Ph: (763) 755-4275	Shelly Sontag-johnson, 1891 Station Pkwy Nw, Andover, MN 55304-3341 Ph: (763) 755-4275

Reviews and Comments

Occupational Therapist in Andover, MN

Ellen Johnson, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304 Phone: 763-755-4275
Lisa Michelle Luke, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304 Phone: 763-755-4275
Mrs. Gina Maria Frattalone Bigelbach, MAOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304 Phone: 763-755-4275 Fax: 763-755-4261
Suzanne Berg, M.S. OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304 Phone: 763-755-4275 Fax: 763-755-4261
Nicole Elaine Mold, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304 Phone: 763-755-4275
Laura Snell, M.A., OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304 Phone: 763-755-4275

Shelly Sontag-johnson, - Medicare Occupational Therapist in Andover, MN