Stephanie Baltazar, OTR/L in North Hollywood, CA - Medicare Occupational Therapist Provider

Stephanie Baltazar, OTR/L is a medicare enrolled "Occupational Therapist" provider in North Hollywood, California. Her current practice location is 6400 Laurel Canyon Blvd Ste 550, North Hollywood, California. You can reach out to her office (for appointments etc.) via phone at (818) 760-0501.

Stephanie Baltazar is licensed to practice in California (license number OT22147) 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 1023694288.

Contact Information

	Stephanie Baltazar, OTR/L
	6400 Laurel Canyon Blvd Ste 550, North Hollywood, CA 91606-1563
	(818) 760-0501
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stephanie Baltazar
Gender	Female
Speciality	Occupational Therapist
Location	6400 Laurel Canyon Blvd Ste 550, North Hollywood, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023694288
Provider Enumeration Date: 03/18/2021
Last Update Date: 08/23/2022

Medicare PECOS Information:

PECOS PAC ID: 3476937897
Enrollment ID: I20220903000257

Medical Identifiers

Medical identifiers for Stephanie Baltazar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023694288	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT22147 (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. Stephanie Baltazar allows following entities to bill medicare on her behalf.

Provider Name	Southern California Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Stephanie Baltazar 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
Stephanie Baltazar, OTR/L 11740 Bellflower Blvd Apt E, Downey, CA 90241-5468 Ph: (323) 419-9017	Stephanie Baltazar, OTR/L 6400 Laurel Canyon Blvd Ste 550, North Hollywood, CA 91606-1563 Ph: (818) 760-0501

Reviews and Comments

Occupational Therapist in North Hollywood, CA

Audrey Baik, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6400 Laurel Canyon Blve #560, North Hollywood, CA 91606 Phone: 818-763-0136
David Andrew Leary, MS, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6400 Laurel Canyon Blvd Ste 400, North Hollywood, CA 91606 Phone: 818-763-0136 Fax: 818-763-3838
Amber Hubbard, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13000 Victory Blvd, North Hollywood, CA 91606 Phone: 310-922-9148
Alice J. Engelmann, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6400 Laurel Canyon Blvd Ste 400, North Hollywood, CA 91606 Phone: 818-763-0136 Fax: 818-763-3838
Aneta Biedron, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5003 Westpark Dr, 103, North Hollywood, CA 91601 Phone: 267-709-5378
Elizabeth Ann Printz, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6400 Laurel Canyon Blvd, Suite 560, North Hollywood, CA 91606 Phone: 818-763-0136 Fax: 818-763-3838

Stephanie Baltazar, OTR/L - Medicare Occupational Therapist in North Hollywood, CA