Van Huffine I, OT is a medicare enrolled "Occupational Therapist" provider in Winfield, Indiana. His current practice location is
10787 Randolph St, Winfield, Indiana. You can reach out to his office (for appointments etc.) via phone at
(219) 333-5900.
Van Huffine I is licensed to practice in Indiana (license number 31003369A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1043234982.
Healthcare Provider's Profile
| Full Name | Van Huffine I |
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| Gender | Male |
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| Speciality | Occupational Therapist |
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| Location | 10787 Randolph St, Winfield, Indiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1043234982
- Provider Enumeration Date: 07/26/2006
- Last Update Date: 11/05/2021
Medicare PECOS Information:
- PECOS PAC ID: 2062306640
- Enrollment ID: I20041227000056
Medical Identifiers
Medical identifiers for Van Huffine I such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043234982 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 056006795 (Illinois) | Secondary |
| 225X00000X | Occupational Therapist | 31003369A (Indiana) | 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. Van Huffine I allows following entities to bill medicare on his behalf.
| Provider Name | Ivyrehab Physical Therapy Pllc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1750764494
PECOS PAC ID: 7012997638
Enrollment ID: O20151211000959 |
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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. Van Huffine I 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 |
|---|
Van Huffine I, OT
1311 Mamaroneck Ave Ste 140,
White Plains, NY 10605-5224
Ph: (914) 294-4050 | Van Huffine I, OT
10787 Randolph St,
Winfield, IN 46307-7615
Ph: (219) 333-5900 |
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