Tiffany Belousov, OTR/L in Lodi, CA - Medicare Occupational Therapy Provider

Tiffany Belousov, OTR/L is a medicare enrolled "Occupational Therapist" provider in Lodi, California. She graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Occupational Therapy. She is a member of the group practice Multicare Health System and her current practice location is 800 S Ham Ln, Lodi, California. You can reach out to her office (for appointments etc.) via phone at (209) 368-7141.

Tiffany Belousov is licensed to practice in California (license number 18320) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1831684638.

Contact Information

	Tiffany Belousov, OTR/L
	800 S Ham Ln, Lodi, CA 95242-3543
	(209) 368-7141
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tiffany Belousov
Gender	Female
Speciality	Occupational Therapy
Experience	8 Years
Location	800 S Ham Ln, Lodi, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tiffany Belousov graduated from medical school in 2016

NPI Data:

NPI Number: 1831684638
Provider Enumeration Date: 06/25/2018
Last Update Date: 06/25/2018

Medicare PECOS Information:

PECOS PAC ID: 0547656282
Enrollment ID: I20220406002177

Medical Identifiers

Medical identifiers for Tiffany Belousov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831684638	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	18320 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Multicare Health System	7719899897	1689

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. Tiffany Belousov allows following entities to bill medicare on her behalf.

Provider Name	Multicare Health System
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760

Provider Name	Apple Physical Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1902808470 PECOS PAC ID: 7810892072 Enrollment ID: O20031202000184

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. Tiffany Belousov 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
Tiffany Belousov, OTR/L 6810 Di Lusso Dr Apt 189, Elk Grove, CA 95758-5889 Ph: (559) 707-4797	Tiffany Belousov, OTR/L 800 S Ham Ln, Lodi, CA 95242-3543 Ph: (209) 368-7141

Reviews and Comments

Occupational Therapist in Lodi, CA

Leticia Valadez, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 S Lower Sacramento Rd, Lodi, CA 95242 Phone: 209-333-3136
Mr. Ryan Hortum, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 975 S Fairmont Ave, Lodi, CA 95240 Phone: 209-333-3100
Lodi Hand Rehabilitation Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 525 S Fairmont Ave, Suite G, Lodi, CA 95240 Phone: 209-339-1690 Fax: 209-339-1693
Heather Baldauff, HEATHER BALDAUFF OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 South Lower Sacramento Road, Lodi Memorial Hospital West, Lodi, CA 95242 Phone: 209-334-3311
Dr. Maureen Clemons, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 N Church St, Lodi, CA 95240 Phone: 209-333-1222
Armando Gabriel Ramos, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 South Ham Lane, Lodi, CA 95242 Phone: 209-368-7141 Fax: 971-206-5203
Jennifer Lee Bryan, OTL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 222 W Pine St, Lodi, CA 95240 Phone: 209-368-1009 Fax: 209-368-1024

Tiffany Belousov, OTR/L - Medicare Occupational Therapist in Lodi, CA