Stephanie Buckholz, in Boulder, CO - Medicare Occupational Therapist Provider

Stephanie Buckholz, is a medicare enrolled "Occupational Therapist" provider in Boulder, Colorado. Her current practice location is 575 Tantra Dr, Boulder, Colorado. You can reach out to her office (for appointments etc.) via phone at (720) 594-4433.

Stephanie Buckholz is licensed to practice in Colorado (license number OT.0007119) 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 1134971534.

Contact Information

	Stephanie Buckholz,
	575 Tantra Dr, Boulder, CO 80305-6195
	(720) 594-4433
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stephanie Buckholz
Gender	Female
Speciality	Occupational Therapist
Location	575 Tantra Dr, Boulder, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134971534
Provider Enumeration Date: 04/01/2024
Last Update Date: 04/01/2024

Medicare PECOS Information:

PECOS PAC ID: 1850730243
Enrollment ID: I20240418000485

Medical Identifiers

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

Identifier	Type	State	Issuer
1134971534	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT.0007119 (Colorado)	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 Buckholz allows following entities to bill medicare on her behalf.

Provider Name	Empowerme Rehabilitation Colorado, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1063176493 PECOS PAC ID: 0446641179 Enrollment ID: O20220106001466

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 Buckholz 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 Buckholz, 6125 Habitat Dr Apt 1092, Boulder, CO 80301-3227 Ph: (231) 675-7199	Stephanie Buckholz, 575 Tantra Dr, Boulder, CO 80305-6195 Ph: (720) 594-4433

Reviews and Comments

Occupational Therapist in Boulder, CO

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Courtney Whalen, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4740 Pearl Pkwy, Boulder, CO 80301 Phone: 303-449-2730
Jakki Ruzich, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3850 Paseo Del Prado St Apt 36, Boulder, CO 80301 Phone: 702-612-7533
David Mangine, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7869 Brockway Dr, Boulder, CO 80303 Phone: 303-888-2819

Stephanie Buckholz, - Medicare Occupational Therapist in Boulder, CO