Wesley John Raverty, OT in Los Angeles, CA - Medicare Occupational Therapist Provider

Wesley John Raverty, OT is a medicare enrolled "Occupational Therapist" provider in Los Angeles, California. His current practice location is 1640 Marengo St, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (323) 442-3340.

Wesley John Raverty is licensed to practice in California (license number 25870) 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 1457113789.

Contact Information

	Wesley John Raverty, OT
	1640 Marengo St, Los Angeles, CA 90033-1036
	(323) 442-3340
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Wesley John Raverty
Gender	Male
Speciality	Occupational Therapist
Location	1640 Marengo St, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457113789
Provider Enumeration Date: 01/23/2024
Last Update Date: 03/25/2024

Medicare PECOS Information:

PECOS PAC ID: 0143666859
Enrollment ID: I20240315001278

Medical Identifiers

Medical identifiers for Wesley John Raverty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457113789	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	25870 (California)	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. Wesley John Raverty allows following entities to bill medicare on his behalf.

Provider Name	Usc Care Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1902846306 PECOS PAC ID: 0446157747 Enrollment ID: O20050512000412

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. Wesley John Raverty 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
Wesley John Raverty, OT Po Box 31309, Los Angeles, CA 90031-0309 Ph: () -	Wesley John Raverty, OT 1640 Marengo St, Los Angeles, CA 90033-1036 Ph: (323) 442-3340

Reviews and Comments

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Wesley John Raverty, OT - Medicare Occupational Therapist in Los Angeles, CA