Alonzo Rafael Hidalgo, OTR/L in Pasadena, CA - Medicare Occupational Therapist Provider

Alonzo Rafael Hidalgo, OTR/L is a medicare enrolled "Occupational Therapist" provider in Pasadena, California. His current practice location is 909 S Fair Oaks Ave, Pasadena, California. You can reach out to his office (for appointments etc.) via phone at (626) 389-9515.

Alonzo Rafael Hidalgo is licensed to practice in California (license number 19402) 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 1144792193.

Contact Information

	Alonzo Rafael Hidalgo, OTR/L
	909 S Fair Oaks Ave, Pasadena, CA 91105-2625
	(626) 389-9515
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Alonzo Rafael Hidalgo
Gender	Male
Speciality	Occupational Therapist
Location	909 S Fair Oaks Ave, Pasadena, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144792193
Provider Enumeration Date: 12/31/2018
Last Update Date: 12/31/2018

Medicare PECOS Information:

PECOS PAC ID: 8224367578
Enrollment ID: I20190911002025

Medical Identifiers

Medical identifiers for Alonzo Rafael Hidalgo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144792193	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	19402 (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. Alonzo Rafael Hidalgo allows following entities to bill medicare on his behalf.

Provider Name	Shriners Hospitals For Children
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1972934008 PECOS PAC ID: 9133031933 Enrollment ID: O20170526001376

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. Alonzo Rafael Hidalgo 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
Alonzo Rafael Hidalgo, OTR/L 909 S Fair Oaks Ave, Pasadena, CA 91105-2625 Ph: (626) 389-9515	Alonzo Rafael Hidalgo, OTR/L 909 S Fair Oaks Ave, Pasadena, CA 91105-2625 Ph: (626) 389-9515

Reviews and Comments

Occupational Therapist in Pasadena, CA

Joelle Elaine Medina, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2889 San Pasqual St, Pasadena, CA 91107 Phone: 626-792-2712
Keene Liang, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2555 E Colorado Blvd Ste 100, Pasadena, CA 91107 Phone: 626-564-2700
Laura Jean Hogan-reyes, OTR/L, SWC Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 E Del Mar Blvd, #112, Pasadena, CA 91105 Phone: 626-564-2700
Carol Fodera, MA,OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 620 N Lake Ave, Pasadena, CA 91101 Phone: 626-793-7350 Fax: 626-793-7341
Natalie Meade Aguirre, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 620 N Lake Ave, Pasadena, CA 91101 Phone: 626-793-7350
Susan Geraldine Inaba, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1565 Glen Oaks Blvd, Pasadena, CA 91105 Phone: 626-376-5265
Ms. Jill Machart Cavan, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: Villa Gardens Health Center, 842 E Villa Street, Pasadena, CA 91101 Phone: 626-463-5350

Alonzo Rafael Hidalgo, OTR/L - Medicare Occupational Therapist in Pasadena, CA