Winny Soenaryo, OT in Los Angeles, CA - Medicare Occupational Therapist Provider

Winny Soenaryo, OT is a medicare enrolled "Occupational Therapist" provider in Los Angeles, California. Her current practice location is 1640 Marengo St Ste 500, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 442-3340.

Winny Soenaryo is licensed to practice in California (license number OT18762) 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 1104483023.

Contact Information

	Winny Soenaryo, OT
	1640 Marengo St Ste 500, Los Angeles, CA 90033-1061
	(323) 442-3340
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Winny Soenaryo
Gender	Female
Speciality	Occupational Therapist
Location	1640 Marengo St Ste 500, 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: 1104483023
Provider Enumeration Date: 05/27/2019
Last Update Date: 06/17/2022

Medicare PECOS Information:

PECOS PAC ID: 2961813084
Enrollment ID: I20201123000047

Medical Identifiers

Medical identifiers for Winny Soenaryo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104483023	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT18762 (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. Winny Soenaryo allows following entities to bill medicare on her behalf.

Provider Name	Kids Therapy Specialties, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1407923808 PECOS PAC ID: 0840341673 Enrollment ID: O20090707000697

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. Winny Soenaryo 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
Winny Soenaryo, OT Po Box 31309, Los Angeles, CA 90031-0309 Ph: (323) 442-3340	Winny Soenaryo, OT 1640 Marengo St Ste 500, Los Angeles, CA 90033-1061 Ph: (323) 442-3340

Reviews and Comments

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Ms. Sheralyn Lee, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3638 Motor Ave, Los Angeles, CA 90034 Phone: 310-204-8999

Winny Soenaryo, OT - Medicare Occupational Therapist in Los Angeles, CA