Charles Elmendorf, in Wall, NJ - Medicare Occupational Therapist Provider

Charles Elmendorf, is a medicare enrolled "Occupational Therapist" provider in Wall, New Jersey. His current practice location is 1825 Nj-35, Wall, New Jersey. You can reach out to his office (for appointments etc.) via phone at (732) 832-7527.

Charles Elmendorf is licensed to practice in New Jersey (license number 46TR00851900) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1881226181.

Contact Information

	Charles Elmendorf,
	1825 Nj-35, Wall, NJ 07719
	(732) 832-7527
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Charles Elmendorf
Gender	Male
Speciality	Occupational Therapist
Location	1825 Nj-35, Wall, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881226181
Provider Enumeration Date: 02/05/2020
Last Update Date: 02/05/2020

Medicare PECOS Information:

PECOS PAC ID: 0840637302
Enrollment ID: I20240320002542

Medical Identifiers

Medical identifiers for Charles Elmendorf such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881226181	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	46TR00851900 (New Jersey)	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. Charles Elmendorf allows following entities to bill medicare on his behalf.

Provider Name	Thompson Medical And Chiropractic Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1942755103 PECOS PAC ID: 5395008163 Enrollment ID: O20180409000295

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. Charles Elmendorf 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
Charles Elmendorf, 65 Mulberry St, Medford, NJ 08055-2618 Ph: (609) 410-1842	Charles Elmendorf, 1825 Nj-35, Wall, NJ 07719 Ph: (732) 832-7527

Reviews and Comments

Occupational Therapist in Wall, NJ

Mrs. Sara Anne Hayden, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3349 Highway138 East, Wall, NJ 07719 Phone: 732-280-6050
Maryann Bock, MAE, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2621 State Highway 138 East, Wall, NJ 07719 Phone: 732-556-1060
Deborah Bland Schain, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1506 Gully Rd, Wall, NJ 07719 Phone: 732-681-1400
Christina Marie Cognetti, MS OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3349 Nj-138, Wall, NJ 07719 Phone: 908-472-6943

Charles Elmendorf, - Medicare Occupational Therapist in Wall, NJ