Alyse Wells Hogan, OTR in Shreveport, LA - Medicare Occupational Therapist Provider

Alyse Wells Hogan, OTR is a medicare enrolled "Occupational Therapist" provider in Shreveport, Louisiana. Her current practice location is 3100 Samford Ave, Shreveport, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 222-5704.

Alyse Wells Hogan is licensed to practice in Arkansas (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 1316286214.

Contact Information

	Alyse Wells Hogan, OTR
	3100 Samford Ave, Shreveport, LA 71103-4239
	(318) 222-5704
	(315) 226-5797

Map and Direction

Healthcare Provider's Profile

Full Name	Alyse Wells Hogan
Gender	Female
Speciality	Occupational Therapist
Location	3100 Samford Ave, Shreveport, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316286214
Provider Enumeration Date: 02/12/2013
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 3870979826
Enrollment ID: I20220929000293

Medical Identifiers

Medical identifiers for Alyse Wells Hogan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316286214	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	(Arkansas)	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. Alyse Wells Hogan allows following entities to bill medicare on her behalf.

Provider Name	Shriners Hospitals For Children
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1679617849 PECOS PAC ID: 9133031933 Enrollment ID: O20121203000457

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. Alyse Wells Hogan 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
Alyse Wells Hogan, OTR 362 Leo Ave, Shreveport, LA 71105-2916 Ph: (318) 229-2681	Alyse Wells Hogan, OTR 3100 Samford Ave, Shreveport, LA 71103-4239 Ph: (318) 222-5704

Reviews and Comments

Occupational Therapist in Shreveport, LA

Jennie Moore Bange, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 318-813-2972
Lynn Gibbs Jenkins, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3100 Samford Ave, Shreveport, LA 71103 Phone: 318-222-5704
Amanda Benson, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4509 Clingman Dr, Shreveport, LA 71105 Phone: 318-540-8180
Mrs. Emily E Dennis, LOTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1450 Claiborne Ave, Shreveport, LA 71103 Phone: 318-813-2970 Fax: 318-813-2975
Jessica Russell, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 302 Sadie Douglas Cir, Shreveport, LA 71106 Phone: 318-465-3743
Kimberly Johnson, OCCUPATIONAL THERAPY Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8870 Youree Dr Ste 108, Shreveport, LA 71115 Phone: 318-344-8021
Rachel Elizabeth Johns, MOT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-990-5271

Alyse Wells Hogan, OTR - Medicare Occupational Therapist in Shreveport, LA