Therese Pettersen, in Phoenix, AZ - Medicare Occupational Therapist Provider

Therese Pettersen, is a medicare enrolled "Occupational Therapist" provider in Phoenix, Arizona. Her current practice location is 775 E Willetta St, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 581-3900.

Therese Pettersen is licensed to practice in Arizona (license number 009304) 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 1396513347.

Contact Information

	Therese Pettersen,
	775 E Willetta St, Phoenix, AZ 85006-2723
	(480) 581-3900
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Therese Pettersen
Gender	Female
Speciality	Occupational Therapist
Location	775 E Willetta St, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396513347
Provider Enumeration Date: 12/19/2023
Last Update Date: 01/05/2024

Medicare PECOS Information:

PECOS PAC ID: 6800247693
Enrollment ID: I20240105001290

Medical Identifiers

Medical identifiers for Therese Pettersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396513347	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	009304 (Arizona)	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. Therese Pettersen allows following entities to bill medicare on her behalf.

Provider Name	Healthpro Heritage Rehab & Fitness Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1942793534 PECOS PAC ID: 6507832573 Enrollment ID: O20190501002244

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. Therese Pettersen 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
Therese Pettersen, 1550 E Campbell Ave Apt 4016, Phoenix, AZ 85014-4279 Ph: (602) 989-8096	Therese Pettersen, 775 E Willetta St, Phoenix, AZ 85006-2723 Ph: (480) 581-3900

Reviews and Comments

Occupational Therapist in Phoenix, AZ

Rebecca Ebbert, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7540 N 19th Ave, Phoenix, AZ 85021 Phone: 888-873-4221 Fax: 888-543-2289
Kristina Nalder, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5314 N 7th St, Phoenix, AZ 85014 Phone: 602-277-5006
Tabitha Macziewski, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4600 E Shea Blvd, Suite 101, Phoenix, AZ 85028 Phone: 602-368-8601 Fax: 602-368-8605
Christina Hyland, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4641 N 12th St Ste 100, Phoenix, AZ 85014 Phone: 602-281-2896
Kristel Ferrer, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5025 E Washington St Ste 108, Phoenix, AZ 85034 Phone: 602-313-8999
Giovanna Martinez, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 4125 N 14th St, Phoenix, AZ 85014 Phone: 602-882-5544
Courtney Boyce, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13201 S Wakial Loop Apt 1094, Phoenix, AZ 85044 Phone: 602-882-2345

Therese Pettersen, - Medicare Occupational Therapist in Phoenix, AZ