Yevgeny Edd Jozef Marababol Medalle, OTR/L in Lakewood, CA - Medicare Occupational Therapist Provider

Yevgeny Edd Jozef Marababol Medalle, OTR/L is a medicare enrolled "Occupational Therapist" provider in Lakewood, California. His current practice location is 3300 E South St Ste 203, Lakewood, California. You can reach out to his office (for appointments etc.) via phone at (562) 512-3320.

Yevgeny Edd Jozef Marababol Medalle is licensed to practice in California (license number 25642) 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 1124885843.

Contact Information

	Yevgeny Edd Jozef Marababol Medalle, OTR/L
	3300 E South St Ste 203, Lakewood, CA 90805-4589
	(562) 512-3320
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Yevgeny Edd Jozef Marababol Medalle
Gender	Male
Speciality	Occupational Therapist
Location	3300 E South St Ste 203, Lakewood, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124885843
Provider Enumeration Date: 02/29/2024
Last Update Date: 02/29/2024

Medicare PECOS Information:

PECOS PAC ID: 9032555081
Enrollment ID: I20240312003825

Medical Identifiers

Medical identifiers for Yevgeny Edd Jozef Marababol Medalle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124885843	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	25642 (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. Yevgeny Edd Jozef Marababol Medalle allows following entities to bill medicare on his behalf.

Provider Name	Functional Rehabilitation Physical Therapy Pc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1063083723 PECOS PAC ID: 0941604417 Enrollment ID: O20210805000167

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. Yevgeny Edd Jozef Marababol Medalle 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
Yevgeny Edd Jozef Marababol Medalle, OTR/L 4308 E 4th St Apt 8, Long Beach, CA 90814-4948 Ph: (408) 250-4870	Yevgeny Edd Jozef Marababol Medalle, OTR/L 3300 E South St Ste 203, Lakewood, CA 90805-4589 Ph: (562) 512-3320

Reviews and Comments

Occupational Therapist in Lakewood, CA

Pradipta Kumar Sahu, MS, OTR, CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3650 South St Ste 204, Lakewood, CA 90712 Phone: 562-444-0100 Fax: 855-608-0788
Erica Maria Pueblos, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 5607 Piercy Ave, Lakewood, CA 90712 Phone: 310-283-9914
Mrs. Adria Cromosini, MS, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 5228 Bellflower Blvd, Lakewood, CA 90713 Phone: 310-748-4307
Mariza Trujillo, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12537 Stillman St, Lakewood, CA 90715 Phone: 213-798-1384
Mrs. Pooja P. Mishrekar, O.T.R./L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12632 Renville St, Lakewood, CA 90715 Phone: 562-860-9478 Fax: 562-492-6970
Renee Figueira, OTR/CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6149 Elsa St, Lakewood, CA 90713 Phone: 562-425-2995

Yevgeny Edd Jozef Marababol Medalle, OTR/L - Medicare Occupational Therapist in Lakewood, CA