Alisha Goff, OTR in Tupelo, MS - Medicare Occupational Therapist Provider

Alisha Goff, OTR is a medicare enrolled "Occupational Therapist" provider in Tupelo, Mississippi. Her current practice location is 90 A Clark Boulevard, Tupelo, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 840-0535.

Alisha Goff is licensed to practice in Mississippi (license number OT2349) 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 1104157197.

Contact Information

	Alisha Goff, OTR
	90 A Clark Boulevard, Tupelo, MS 38801
	(662) 840-0535
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Alisha Goff
Gender	Female
Speciality	Occupational Therapist
Location	90 A Clark Boulevard, Tupelo, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104157197
Provider Enumeration Date: 01/15/2010
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 2466826086
Enrollment ID: I20230322002829

Medical Identifiers

Medical identifiers for Alisha Goff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104157197	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT2349 (Mississippi)	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. Alisha Goff allows following entities to bill medicare on her behalf.

Provider Name	Dpti Elite Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1386010718 PECOS PAC ID: 0547579401 Enrollment ID: O20151016001144

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. Alisha Goff 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
Alisha Goff, OTR 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 777-6236	Alisha Goff, OTR 90 A Clark Boulevard, Tupelo, MS 38801 Ph: (662) 840-0535

Reviews and Comments

Occupational Therapist in Tupelo, MS

Caley O'callaghan Speck, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1211 S Gloster St Ste C, Tupelo, MS 38801 Phone: 662-432-1523
Mallory V Peden, MOT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 960 Commonwealth Blvd, Tupelo, MS 38804 Phone: 662-260-3789 Fax: 662-260-3790
Erin Olivia Goode, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 960 Commonwealth Blvd, Tupelo, MS 38804 Phone: 662-260-3789
Ms. Debra Pasmore Bradsher, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 90 Clark Blvd, Tupelo, MS 38804 Phone: 662-840-0535
Lydia Marie Thomas, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1150 S Green St Ste D, Tupelo, MS 38804 Phone: 601-815-3575
Mrs. Leah Mrs Hawks, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1901 Briar Ridge Rd, Tupelo, MS 38804 Phone: 662-844-0675
Melissa Anderson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 90 Clark Blvd Ste A, Tupelo, MS 38804 Phone: 662-840-0535 Fax: 662-842-7915

Alisha Goff, OTR - Medicare Occupational Therapist in Tupelo, MS