Sue Ellen Wilson, OTR/L in Annapolis, MD - Medicare Occupational Therapist Provider

Sue Ellen Wilson, OTR/L is a medicare enrolled "Occupational Therapist" provider in Annapolis, Maryland. Her current practice location is 2644 Riva Rd, Annapolis, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 222-5000.

Sue Ellen Wilson is licensed to practice in Maryland (license number 01740) 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 1164993986.

Contact Information

	Sue Ellen Wilson, OTR/L
	2644 Riva Rd, Annapolis, MD 21401-7427
	(410) 222-5000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Sue Ellen Wilson
Gender	Female
Speciality	Occupational Therapist
Location	2644 Riva Rd, Annapolis, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164993986
Provider Enumeration Date: 12/06/2018
Last Update Date: 08/29/2022

Medicare PECOS Information:

PECOS PAC ID: 6305204520
Enrollment ID: I20230621000953

Medical Identifiers

Medical identifiers for Sue Ellen Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164993986	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	01740 (Maryland)	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. Sue Ellen Wilson allows following entities to bill medicare on her behalf.

Provider Name	Heritage Harbour Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1235643305 PECOS PAC ID: 1557620671 Enrollment ID: O20180118001677

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. Sue Ellen Wilson 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
Sue Ellen Wilson, OTR/L 2644 Riva Rd, Annapolis, MD 21401-7427 Ph: (410) 222-5000	Sue Ellen Wilson, OTR/L 2644 Riva Rd, Annapolis, MD 21401-7427 Ph: (410) 222-5000

Reviews and Comments

Occupational Therapist in Annapolis, MD

Mrs. Lindsay Arna Oconnor, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 7101 Bay Front Dr, Annapolis, MD 21403 Phone: 443-837-0026
Ann Ruppel, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2003 Medical Pkwy, Annapolis, MD 21401 Phone: 410-573-2530
Mrs. Cimmon Elizabeth Burris, OT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2644 Riva Rd, Annapolis, MD 21401 Phone: 410-222-5000
Physiotherapy Associates, Inc. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 129 Lubrano Dr Ste 301, Annapolis, MD 21401 Phone: 410-224-2626
Kristin Abboud, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2000 Medical Pkwy, Ste 101, Annapolis, MD 21401 Phone: 410-295-8900 Fax: 410-280-4701
Robin Joanne Mullins, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2644 Riva Rd, Annapolis, MD 21401 Phone: 410-222-5000
Emiko Tanabe, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1410 Forest Dr Ste 29, Annapolis, MD 21403 Phone: 410-280-8774

Sue Ellen Wilson, OTR/L - Medicare Occupational Therapist in Annapolis, MD