Amanda Mcgillicuddy, in Walpole, MA - Medicare Occupational Therapist Provider

Amanda Mcgillicuddy, is a medicare enrolled "Occupational Therapist" provider in Walpole, Massachusetts. Her current practice location is 180 Main St, Walpole, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (774) 203-9071.

Amanda Mcgillicuddy is licensed to practice in Massachusetts (license number 15342) 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 1316755879.

Contact Information

	Amanda Mcgillicuddy,
	180 Main St, Walpole, MA 02081-4020
	(774) 203-9071
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amanda Mcgillicuddy
Gender	Female
Speciality	Occupational Therapist
Location	180 Main St, Walpole, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316755879
Provider Enumeration Date: 12/30/2024
Last Update Date: 12/30/2024

Medicare PECOS Information:

PECOS PAC ID: 6103354626
Enrollment ID: I20250113000771

Medical Identifiers

Medical identifiers for Amanda Mcgillicuddy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316755879	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	15342 (Massachusetts)	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. Amanda Mcgillicuddy allows following entities to bill medicare on her behalf.

Provider Name	Healthpro Heritage Rehab & Fitness Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1922473750 PECOS PAC ID: 6507832573 Enrollment ID: O20160121000932

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. Amanda Mcgillicuddy 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
Amanda Mcgillicuddy, 129 Ash St, Stoughton, MA 02072-3521 Ph: (339) 237-8612	Amanda Mcgillicuddy, 180 Main St, Walpole, MA 02081-4020 Ph: (774) 203-9071

Reviews and Comments

Occupational Therapist in Walpole, MA

Elizabeth O'hare, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 160 Main St, Walpole, MA 02081 Phone: 508-505-9541
Emily Moran, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 399 Lincoln Rd, Walpole, MA 02081 Phone: 508-668-7703
Katrina Rusnak, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 399 Lincoln Rd, Walpole, MA 02081 Phone: 508-668-7703
Leah Barker, MOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 160 Main St, Walpole, MA 02081 Phone: 508-660-3080
Kayla Marie Deperno, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1776 Washington St, Walpole, MA 02081 Phone: 508-208-8438
Layne Ward, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 180 Main St, Walpole, MA 02081 Phone: 774-203-9071
Brittany Menard, MSOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 160 Main St, Walpole, MA 02081 Phone: 508-505-9541

Amanda Mcgillicuddy, - Medicare Occupational Therapist in Walpole, MA