Miranda L Jackson, OTR/L in Dearborn, MI - Medicare Occupational Therapist Provider

Miranda L Jackson, OTR/L is a medicare enrolled "Occupational Therapist" provider in Dearborn, Michigan. Her current practice location is 1360 Porter St, Dearborn, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 689-5188.

Miranda L Jackson is licensed to practice in Michigan (license number ) 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 1235718537.

Contact Information

	Miranda L Jackson, OTR/L
	1360 Porter St, Dearborn, MI 48124-2890
	(313) 689-5188
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Miranda L Jackson
Gender	Female
Speciality	Occupational Therapist
Location	1360 Porter St, Dearborn, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235718537
Provider Enumeration Date: 04/05/2021
Last Update Date: 09/20/2021

Medicare PECOS Information:

PECOS PAC ID: 1951710524
Enrollment ID: I20210511003092

Medical Identifiers

Medical identifiers for Miranda L Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235718537	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	Secondary
225X00000X	Occupational Therapist	(Michigan)	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. Miranda L Jackson allows following entities to bill medicare on her behalf.

Provider Name	Ivyrehab Michigan Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1104337120 PECOS PAC ID: 6901165893 Enrollment ID: O20180123001245

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. Miranda L Jackson 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
Miranda L Jackson, OTR/L 1360 Porter St, Dearborn, MI 48124-2890 Ph: () -	Miranda L Jackson, OTR/L 1360 Porter St, Dearborn, MI 48124-2890 Ph: (313) 689-5188

Reviews and Comments

Occupational Therapist in Dearborn, MI

Ms. Samantha Baker, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 22731 Newmand Street, Suite 100b, Dearborn, MI 48124 Phone: 313-791-0616
Calleigh-reese Coffin, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Parklane Blvd Ste E200, Dearborn, MI 48126 Phone: 586-204-5560
Adrienna Bartnicki, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3101 S Gulley Rd Ste F-g, Dearborn, MI 48124 Phone: 734-407-2500
Ms. Melanie Ward, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 20469 Outer Dr, Dearborn, MI 48124 Phone: 734-282-2100
Rachel E Basile, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7760
Taylor Pauline Talbot, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3101 S Gulley Rd Ste F, Dearborn, MI 48124 Phone: 734-407-2500 Fax: 313-792-8962
Nicole Renee Colleran, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 18501 Rotunda Dr Ste 100, Dearborn, MI 48124 Phone: 313-996-1951

Miranda L Jackson, OTR/L - Medicare Occupational Therapist in Dearborn, MI