Stefani Hira Soetarman, OTR/L in Santa Clara, CA - Medicare Occupational Therapist Provider

Stefani Hira Soetarman, OTR/L is a medicare enrolled "Occupational Therapist" provider in Santa Clara, California. Her current practice location is 710 Lawrence Expy, Santa Clara, California. You can reach out to her office (for appointments etc.) via phone at (408) 851-1400.

Stefani Hira Soetarman is licensed to practice in California (license number 8273) 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 1831493345.

Contact Information

	Stefani Hira Soetarman, OTR/L
	710 Lawrence Expy, Santa Clara, CA 95051
	(408) 851-1400
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stefani Hira Soetarman
Gender	Female
Speciality	Occupational Therapist
Location	710 Lawrence Expy, Santa Clara, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831493345
Provider Enumeration Date: 12/28/2010
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 3870771074
Enrollment ID: I20110616000534

Medical Identifiers

Medical identifiers for Stefani Hira Soetarman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831493345	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	8273 (California)	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. Stefani Hira Soetarman allows following entities to bill medicare on her behalf.

Provider Name	Permanente Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Stefani Hira Soetarman 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
Stefani Hira Soetarman, OTR/L 48460 Flagstaff Pl, Fremont, CA 94539-7709 Ph: (916) 595-4567	Stefani Hira Soetarman, OTR/L 710 Lawrence Expy, Santa Clara, CA 95051 Ph: (408) 851-1400

Reviews and Comments

Occupational Therapist in Santa Clara, CA

Ms. Mary Julie Digeronimo, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 900 Kiely Blvd, Santa Clara, CA 95051 Phone: 408-851-8350
Christine Strode, OT/L, CMC Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 669-600-7258
Sarah Faith Innocenti, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1480
Miss Erica Renee Fahmy, MA, OTR/L, PAM, SWC Occupational Therapist Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1459
Danielle Borras, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1880 Pruneridge Ave, Santa Clara, CA 95050 Phone: 408-245-3400
Audrey Vl Suciu, M.S.,O.T.R.,L.,C.H.T Occupational Therapist Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Dept. 174 And 290, Santa Clara, CA 95051 Phone: 408-851-1461
Nicole Lai, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2580 Lafayette St, Santa Clara, CA 95050 Phone: 408-743-5332

Stefani Hira Soetarman, OTR/L - Medicare Occupational Therapist in Santa Clara, CA