Amy Pellerin Fewell, LOTR in Jennings, LA - Medicare Occupational Therapist Provider

Amy Pellerin Fewell, LOTR is a medicare enrolled "Occupational Therapist" provider in Jennings, Louisiana. Her current practice location is 619 N Main St, Jennings, Louisiana. You can reach out to her office (for appointments etc.) via phone at (337) 824-8287.

Amy Pellerin Fewell is licensed to practice in Louisiana (license number OTT.200549) 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 1104470798.

Contact Information

	Amy Pellerin Fewell, LOTR
	619 N Main St, Jennings, LA 70546-5347
	(337) 824-8287
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amy Pellerin Fewell
Gender	Female
Speciality	Occupational Therapist
Location	619 N Main St, Jennings, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104470798
Provider Enumeration Date: 07/31/2019
Last Update Date: 07/31/2019

Medicare PECOS Information:

PECOS PAC ID: 7416302393
Enrollment ID: I20231012001899

Medical Identifiers

Medical identifiers for Amy Pellerin Fewell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104470798	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OTT.200549 (Louisiana)	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. Amy Pellerin Fewell allows following entities to bill medicare on her behalf.

Provider Name	Synergy Care Southeast, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1891156055 PECOS PAC ID: 6204079163 Enrollment ID: O20160722001624

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. Amy Pellerin Fewell 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
Amy Pellerin Fewell, LOTR 2002 Johnson St Ste 100, Jennings, LA 70546-3640 Ph: (337) 824-4547	Amy Pellerin Fewell, LOTR 619 N Main St, Jennings, LA 70546-5347 Ph: (337) 824-8287

Reviews and Comments

Occupational Therapist in Jennings, LA

Prof. Danielle Anthaume Keyser, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2002 Johnson St, Suite 100, Jennings, LA 70546 Phone: 337-824-4547 Fax: 337-824-4548
Mr. Mark P Gremillion, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2002 Johnson St Ste 100, Jennings, LA 70546 Phone: 337-824-4547 Fax: 337-824-4548
Mr. Steven Charles Coon, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2002 Johnson St, Ste. 100, Jennings, LA 70546 Phone: 337-824-4547 Fax: 337-824-4548
Victoria K Baudoin, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2002 Johnson St, Suite 100, Jennings, LA 70546 Phone: 337-824-4547 Fax: 337-824-4548
Stephania Ann Taylor, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2002 Johnson St, Suite 100, Jennings, LA 70546 Phone: 337-824-4547 Fax: 337-824-4548
Brittany Bureau Talley, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2002 Johnson St, Suite 100, Jennings, LA 70546 Phone: 337-824-4547 Fax: 337-824-4548

Amy Pellerin Fewell, LOTR - Medicare Occupational Therapist in Jennings, LA