Brooke Juliette Ellis, OTD, OTR/L in Enfield, CT - Medicare Occupational Therapist Provider

Brooke Juliette Ellis, OTD, OTR/L is a medicare enrolled "Occupational Therapist - Hand" provider in Enfield, Connecticut. Her current practice location is 113 Elm St, Enfield, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 253-5196.

Brooke Juliette Ellis is licensed to practice in Connecticut (license number 5940) 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 1871253286.

Contact Information

	Brooke Juliette Ellis, OTD, OTR/L
	113 Elm St, Enfield, CT 06082-3700
	(860) 253-5196
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brooke Juliette Ellis
Gender	Female
Speciality	Occupational Therapist - Hand
Location	113 Elm St, Enfield, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871253286
Provider Enumeration Date: 12/27/2021
Last Update Date: 11/02/2024

Medicare PECOS Information:

PECOS PAC ID: 6709277569
Enrollment ID: I20220105001430

Medical Identifiers

Medical identifiers for Brooke Juliette Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871253286	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225XH1200X	Occupational Therapist - Hand	14292 (Massachusetts)	Secondary
225XH1200X	Occupational Therapist - Hand	5940 (Connecticut)	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. Brooke Juliette Ellis allows following entities to bill medicare on her behalf.

Provider Name	Performance Rehabilitation Of Western New England Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1710919063 PECOS PAC ID: 7911979950 Enrollment ID: O20040810000712

Provider Name	Dg Physical Therapy Pc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1295279198 PECOS PAC ID: 0143503680 Enrollment ID: O20170208000911

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. Brooke Juliette Ellis 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
Brooke Juliette Ellis, OTD, OTR/L 8 Oakwood St, Enfield, CT 06082-2717 Ph: (860) 593-2364	Brooke Juliette Ellis, OTD, OTR/L 113 Elm St, Enfield, CT 06082-3700 Ph: (860) 253-5196

Reviews and Comments

Occupational Therapist in Enfield, CT

Kari Mccaffery, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 113 Elm St Ste 201, Enfield, CT 06082 Phone: 860-253-5196 Fax: 860-253-5197
Transformative Occupational Therapy And Consulting Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1654 King St, Enfield, CT 06082 Phone: 475-219-0013
Eastern Rehabilitation Network Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 113 Elm Street, Eastern Rehabilitation Network, Enfield, CT 06082 Phone: 860-667-5480
Jessica Nicole Fields, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7 Till St, Enfield, CT 06082 Phone: 860-614-3305
Kristin Ladd Kolack, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 113 Elm St Ste 201, Enfield, CT 06082 Phone: 860-253-5196
Olivia O Longley, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 18 Pleasant Rd, Enfield, CT 06082 Phone: 860-305-2389
Mrs. Sarah Hernandez, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 128 Town Farm Rd, Enfield, CT 06082 Phone: 860-506-5434

Brooke Juliette Ellis, OTD, OTR/L - Medicare Occupational Therapist in Enfield, CT