Annie Jackson, OTR/L - Medicare Occupational Therapist in Wyoming, MI

Annie Jackson, OTR/L is a medicare enrolled "Occupational Therapist" provider in Wyoming, Michigan. Her current practice location is 5722 Metro Way Sw Ste B, Wyoming, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 840-7529.

Annie Jackson 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 1134879422.

Contact Information

Annie Jackson, OTR/L
5722 Metro Way Sw Ste B,
Wyoming, MI 49519-9524
(616) 840-7529
(616) 840-9693

Map and Direction




Healthcare Provider's Profile

Full NameAnnie Jackson
GenderFemale
SpecialityOccupational Therapist
Location5722 Metro Way Sw Ste B, Wyoming, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134879422
  • Provider Enumeration Date: 03/28/2022
  • Last Update Date: 12/22/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0446601314
  • Enrollment ID: I20240105000443

Medical Identifiers

Medical identifiers for Annie Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134879422NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational 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. Annie Jackson allows following entities to bill medicare on her behalf.
Provider NameMary Free Bed Rehabilitation Hospital
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1730133463
PECOS PAC ID: 4587576541
Enrollment ID: O20040116000604

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. Annie Jackson 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 AddressPractice Location Address
Annie Jackson, OTR/L
235 Wealthy St Se,
Grand Rapids, MI 49503-5247

Ph: (616) 840-8000
Annie Jackson, OTR/L
5722 Metro Way Sw Ste B,
Wyoming, MI 49519-9524

Ph: (616) 840-7529

Reviews and Comments


Occupational Therapist in Wyoming, MI

Joseph Siojo Tan,
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Medicare: Accepting Medicare Assignments
Practice Location: 2060 Health Dr Sw, Wyoming, MI 49519
Phone: 616-333-1200    
Ms. Michelle Lanore, OTR/L
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Medicare: Not Enrolled in Medicare
Practice Location: 2708 Meyer Ave Sw, Wyoming, MI 49519
Phone: 231-531-0672    Fax: 616-965-4803
Mrs. Sharyn Armstrong Coates, MSOTR/L, BCB-PMD
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Medicare: Accepting Medicare Assignments
Practice Location: 2093 Health Dr Sw Ste 201, Wyoming, MI 49519
Phone: 616-452-7099    
Gastroenterology Associates Of Western Michigan Plc
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Medicare: Not Enrolled in Medicare
Practice Location: 2093 Health Dr Sw Ste 201, Wyoming, MI 49519
Phone: 616-328-5350    Fax: 616-452-4142
Rachel Lutz, OTR
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Medicare: Not Enrolled in Medicare
Practice Location: 2060 Health Dr Sw, Wyoming, MI 49519
Phone: 616-333-1200    
Amanda Tepastte,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2786 56th St Sw, Wyoming, MI 49418
Phone: 616-261-3960    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.