Charlotte Sally, OTR/L - Medicare Occupational Therapist in Santa Rosa, CA

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Charlotte Sally, OTR/L is a medicare enrolled "Occupational Therapist" provider in Santa Rosa, California. Her current practice location is 3751 Montgomery Dr, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at (707) 525-1250.

Charlotte Sally is licensed to practice in California (license number 17633) 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 1518528488.

Contact Information

Charlotte Sally, OTR/L
3751 Montgomery Dr,
Santa Rosa, CA 95405-5214
(707) 525-1250
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameCharlotte Sally
GenderFemale
SpecialityOccupational Therapist
Location3751 Montgomery Dr, Santa Rosa, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518528488
  • Provider Enumeration Date: 06/21/2019
  • Last Update Date: 12/30/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3072919448
  • Enrollment ID: I20210909003312

Medical Identifiers

Medical identifiers for Charlotte Sally such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518528488NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 17633 (California)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. Charlotte Sally allows following entities to bill medicare on her behalf.
Provider NamePermanente Medical Group Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710

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. Charlotte Sally 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
Charlotte Sally, OTR/L
1037 Golf Course Dr,
Rohnert Park, CA 94928-1837

Ph: (707) 246-2639		Charlotte Sally, OTR/L
3751 Montgomery Dr,
Santa Rosa, CA 95405-5214

Ph: (707) 525-1250

Reviews and Comments


Occupational Therapist in Santa Rosa, CA

Mrs. Sonoe M Oft, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1165 Montgomery Dr, Santa Rosa, CA 95405
Phone: 707-525-5300    
Aaron Calderon, OTD, OTR/L
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 3751 Montgomery Dr, Santa Rosa, CA 95405
Phone: 707-525-1250    
Carolyn Bartlett, O.T., C.H.T.
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1405 Montgomery Dr, Santa Rosa, CA 95405
Phone: 707-546-1922    
Harris And Leibert Group
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1500 Leonard Ave, Santa Rosa, CA 95405
Phone: 707-542-5558    
Mrs. Margaret Frances Kuhl, OTD, OTR/L
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 4210 Thomas Lake Harris Dr, Santa Rosa, CA 95403
Phone: 800-967-4667    
Ms. Elizabeth Gormley Gomes, MS OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4922 Rincon Ave, Santa Rosa, CA 95409
Phone: 707-292-4693    
Heather August, MOTR/L
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 1280 Summerfield Rd, Santa Rosa, CA 95405
Phone: 707-539-1515    

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.