Ashley Nicole Maxwell, OTR/L in Camilla, GA - Medicare Occupational Therapist Provider

Ashley Nicole Maxwell, OTR/L is a medicare enrolled "Occupational Therapist" provider in Camilla, Georgia. Her current practice location is 90 E Stephens St, Camilla, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 336-4619.

Ashley Nicole Maxwell is licensed to practice in Georgia (license number OT006830) 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 1174042972.

Contact Information

	Ashley Nicole Maxwell, OTR/L
	90 E Stephens St, Camilla, GA 31730-1836
	(229) 336-4619
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ashley Nicole Maxwell
Gender	Female
Speciality	Occupational Therapist
Location	90 E Stephens St, Camilla, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174042972
Provider Enumeration Date: 09/12/2017
Last Update Date: 09/12/2017

Medicare PECOS Information:

PECOS PAC ID: 4183157290
Enrollment ID: I20241029000394

Medical Identifiers

Medical identifiers for Ashley Nicole Maxwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174042972	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT006830 (Georgia)	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. Ashley Nicole Maxwell allows following entities to bill medicare on her behalf.

Provider Name	Empowerme Rehabilitation Georgia, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1952934374 PECOS PAC ID: 4284063835 Enrollment ID: O20200401003230

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. Ashley Nicole Maxwell 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
Ashley Nicole Maxwell, OTR/L 90 E Stephens St, Camilla, GA 31730-1836 Ph: (229) 336-4619	Ashley Nicole Maxwell, OTR/L 90 E Stephens St, Camilla, GA 31730-1836 Ph: (229) 336-4619

Reviews and Comments

Occupational Therapist in Camilla, GA

Shenika Laverne Jackson, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 251 Us Highway 19 N, Camilla, GA 31730 Phone: 229-336-8255 Fax: 229-336-5878
Katy L. Lewis, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 99 E Broad St, Camilla, GA 31730 Phone: 229-336-8255
Caitlin Fletcher, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 90 E Stephens St, Camilla, GA 31730 Phone: 229-336-5284
Heather Michele Griffin, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 90 E Stephens St, Camilla, GA 31730 Phone: 229-336-5284 Fax: 229-336-5878

Ashley Nicole Maxwell, OTR/L - Medicare Occupational Therapist in Camilla, GA