Stephanie L Blossomgame, OTR/L in Rogers, MN - Medicare Occupational Therapist Provider

Stephanie L Blossomgame, OTR/L is a medicare enrolled "Occupational Therapist" provider in Rogers, Minnesota. Her current practice location is 20600 S. Diamond Lake Rd, Rogers, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 428-4315.

Stephanie L Blossomgame is licensed to practice in Minnesota (license number 103651) 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 1730935834.

Contact Information

	Stephanie L Blossomgame, OTR/L
	20600 S. Diamond Lake Rd, Rogers, MN 55374
	(763) 428-4315
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stephanie L Blossomgame
Gender	Female
Speciality	Occupational Therapist
Location	20600 S. Diamond Lake Rd, Rogers, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730935834
Provider Enumeration Date: 04/29/2024
Last Update Date: 12/30/2024

Medicare PECOS Information:

PECOS PAC ID: 1355872086
Enrollment ID: I20241004000539

Medical Identifiers

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

Identifier	Type	State	Issuer
1730935834	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	103651 (Minnesota)	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 L Blossomgame allows following entities to bill medicare on her behalf.

Provider Name	Fox Rehabilitation Services Mn Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1356802862 PECOS PAC ID: 0941542591 Enrollment ID: O20190430002455

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 L Blossomgame 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 L Blossomgame, OTR/L 20600 S. Diamond Lake Rd, Rogers, MN 55374 Ph: (763) 428-4315	Stephanie L Blossomgame, OTR/L 20600 S. Diamond Lake Rd, Rogers, MN 55374 Ph: (763) 428-4315

Reviews and Comments

Occupational Therapist in Rogers, MN

Elizabeth Stock, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 23618 Carmen Ct N, Rogers, MN 55374 Phone: 612-418-6979
Victoria Elaine Larkin, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 14000 Northdale Blvd, Rogers, MN 55374 Phone: 952-544-0349
Danielle Erler, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 20600 S Diamond Lake Rd, Rogers, MN 55374 Phone: 763-428-1981
Hannah Kreider-letterman, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 9817 Garden Ln, Rogers, MN 55374 Phone: 601-392-2097
Roots And Wings Therapeutic Services Llc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 9817 Garden Ln, Rogers, MN 55374 Phone: 612-408-6580

Stephanie L Blossomgame, OTR/L - Medicare Occupational Therapist in Rogers, MN