Sophia Casanova, OTR/L in Oak Park, MI - Medicare Occupational Therapist Provider

Sophia Casanova, OTR/L is a medicare enrolled "Occupational Therapist" provider in Oak Park, Michigan. Her current practice location is 25900 Greenfield Rd Ste 100, Oak Park, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 788-4300.

Sophia Casanova is licensed to practice in Michigan (license number 5201013677) 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 1962276220.

Contact Information

	Sophia Casanova, OTR/L
	25900 Greenfield Rd Ste 100, Oak Park, MI 48237-1297
	(248) 788-4300
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Sophia Casanova
Gender	Female
Speciality	Occupational Therapist
Location	25900 Greenfield Rd Ste 100, Oak Park, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962276220
Provider Enumeration Date: 11/08/2023
Last Update Date: 11/08/2023

Medicare PECOS Information:

PECOS PAC ID: 7012355530
Enrollment ID: I20240403001965

Medical Identifiers

Medical identifiers for Sophia Casanova such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962276220	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	5201013677 (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. Sophia Casanova allows following entities to bill medicare on her behalf.

Provider Name	Life Skills Village Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1629316815 PECOS PAC ID: 2860624103 Enrollment ID: O20140421000357

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. Sophia Casanova 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
Sophia Casanova, OTR/L 21410 Taft Rd, Northville, MI 48167-1045 Ph: (248) 635-4787	Sophia Casanova, OTR/L 25900 Greenfield Rd Ste 100, Oak Park, MI 48237-1297 Ph: (248) 788-4300

Reviews and Comments

Occupational Therapist in Oak Park, MI

Elise Winchester, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 25900 Greenfield Rd Ste 100, Oak Park, MI 48237 Phone: 248-788-4300
Fabio Ridge Brikho, OT/R L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 14221 Borgman St, Oak Park, MI 48237 Phone: 248-996-0234
Berkley Kids Rehab Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 25595 Coolidge Hwy, Oak Park, MI 48237 Phone: 248-629-4696
Ms. Cynthia Burt, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 25900 Greenfield Rd, Suite 505, Oak Park, MI 48237 Phone: 248-213-7244 Fax: 248-213-7245
Alissia Wells, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 25900 Greenfield Rd Ste 100, Oak Park, MI 48237 Phone: 248-788-4300
Sehra Sarwar Siddiqui, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13855 W 9 Mile Rd, Oak Park, MI 48237 Phone: 248-548-6580 Fax: 313-593-3228
Carol Gant, O.T.R. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 21391 Ridgedale St, Oak Park, MI 48237 Phone: 248-336-3969

Sophia Casanova, OTR/L - Medicare Occupational Therapist in Oak Park, MI