Lacey Ann Zimmermann, OTR/L - Medicare Occupational Therapist in Park City, UT

Lacey Ann Zimmermann, OTR/L is a medicare enrolled "Occupational Therapist" provider in Park City, Utah. Her current practice location is 4554 Forestdale Dr Unit E26, Park City, Utah. You can reach out to her office (for appointments etc.) via phone at (435) 400-4064.

Lacey Ann Zimmermann is licensed to practice in Utah (license number 12326180-4201) 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 1255900346.

Contact Information

Lacey Ann Zimmermann, OTR/L
4554 Forestdale Dr Unit E26,
Park City, UT 84098-1394
(435) 400-4064
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameLacey Ann Zimmermann
GenderFemale
SpecialityOccupational Therapist
Location4554 Forestdale Dr Unit E26, Park City, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255900346
  • Provider Enumeration Date: 06/22/2021
  • Last Update Date: 06/22/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6507242310
  • Enrollment ID: I20221003000826

Medical Identifiers

Medical identifiers for Lacey Ann Zimmermann such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255900346NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 12326180-4201 (Utah)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. Lacey Ann Zimmermann allows following entities to bill medicare on her behalf.
Provider NameShriners Hospitals For Children
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1396187282
PECOS PAC ID: 9133031933
Enrollment ID: O20140703000851

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. Lacey Ann Zimmermann 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 AddressPractice Location Address
Lacey Ann Zimmermann, OTR/L
N15w30191 Timber Brook Rd,
Pewaukee, WI 53072-6100

Ph: (262) 344-4077
Lacey Ann Zimmermann, OTR/L
4554 Forestdale Dr Unit E26,
Park City, UT 84098-1394

Ph: (435) 400-4064

Reviews and Comments


Occupational Therapist in Park City, UT

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Phone: 312-301-0411    
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Practice Location: 900 Round Valley Dr, Park City, UT 84060
Phone: 435-658-7359    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.