Angela Dawn Prock, in Payson, AZ - Medicare Occupational Therapist Provider

Angela Dawn Prock, is a medicare enrolled "Occupational Therapist" provider in Payson, Arizona. Her current practice location is 126 E Main St Ste C, Payson, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 471-3445.

Angela Dawn Prock is licensed to practice in * (Not Available) (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 1144729286.

Contact Information

	Angela Dawn Prock,
	126 E Main St Ste C, Payson, AZ 85541-5488
	(928) 471-3445
	(928) 471-1015

Map and Direction

Healthcare Provider's Profile

Full Name	Angela Dawn Prock
Gender	Female
Speciality	Occupational Therapist
Location	126 E Main St Ste C, Payson, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144729286
Provider Enumeration Date: 02/05/2018
Last Update Date: 01/10/2025

Medicare PECOS Information:

PECOS PAC ID: 8729341748
Enrollment ID: I20180404001259

Medical Identifiers

Medical identifiers for Angela Dawn Prock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144729286	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225XH1200X	Occupational Therapist - Hand	2652 (Arizona)	Secondary
225X00000X	Occupational Therapist	(* (Not Available))	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. Angela Dawn Prock allows following entities to bill medicare on her behalf.

Provider Name	Bhsm Rehabilitation Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1497271431 PECOS PAC ID: 2062773138 Enrollment ID: O20180306002185

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. Angela Dawn Prock 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
Angela Dawn Prock, 126 E Main St Ste C, Payson, AZ 85541-5488 Ph: (928) 471-3445	Angela Dawn Prock, 126 E Main St Ste C, Payson, AZ 85541-5488 Ph: (928) 471-3445

Reviews and Comments

Occupational Therapist in Payson, AZ

Mr. Richard Brian Staudt, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1108 N Camelot Dr, Payson, AZ 85541 Phone: 928-468-2333
Karen M. Waters, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 127 E Main St, Suite D, Payson, AZ 85541 Phone: 928-474-8006 Fax: 928-474-8000
Karin M Heaton, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 807 W Longhorn Rd, Payson, AZ 85541 Phone: 928-474-1120
Denise Miller, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 107 E Lone Pine Dr, Payson, AZ 85541 Phone: 928-474-6896

Angela Dawn Prock, - Medicare Occupational Therapist in Payson, AZ