Ellen Obenberger, OT is a medicare enrolled "Occupational Therapist - Neurorehabilitation" provider in Mammoth Hospital, California. Her current practice location is
85 Sierra Park Rd, Mammoth Hospital, California. You can reach out to her office (for appointments etc.) via phone at
(760) 934-7302.
Ellen Obenberger is licensed to practice in California (license number OT30161) 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 1396887279.
Healthcare Provider's Profile
Full Name | Ellen Obenberger |
---|
Gender | Female |
---|
Speciality | Occupational Therapist - Neurorehabilitation |
---|
Location | 85 Sierra Park Rd, Mammoth Hospital, California |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1396887279
- Provider Enumeration Date: 02/13/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8224065818
- Enrollment ID: I20050726000338
Medical Identifiers
Medical identifiers for Ellen Obenberger such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396887279 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | OT30161 (California) | Primary |
225XE1200X | Occupational Therapist - Ergonomics | OT30161 (California) | Primary |
225XH1200X | Occupational Therapist - Hand | OT30161 (California) | Primary |
225XP0200X | Occupational Therapist - Pediatrics | OT30161 (California) | Primary |
225XN1300X | Occupational Therapist - Neurorehabilitation | OT30161 (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. Ellen Obenberger allows following entities to bill medicare on her behalf.
Provider Name | Southern Mono Health Care District |
---|
Provider Type | Part B Supplier - Clinic/group Practice |
---|
Provider Identifiers | NPI Number: 1962444059 PECOS PAC ID: 9830002401 Enrollment ID: O20031118001160 |
---|
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. Ellen Obenberger 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 |
Ellen Obenberger, OT Po Box 660, 85 Sierra Park Rd, Mammoth Lakes, CA 93546-0660 Ph: (760) 934-1779 | Ellen Obenberger, OT 85 Sierra Park Rd, Mammoth Hospital, CA 93546-0660 Ph: (760) 934-7302 |
Reviews and Comments