Connie Colleen Wyatt, OTR/L is a medicare enrolled "Occupational Therapist - Environmental Modification" provider in Anacortes, Washington. She graduated from medical school in 2017 and has 9 years of diverse experience with area of expertise as Occupational Therapist In Private Practice. She is a member of the group practice Pnw Home For Life Pllc and her current practice location is
4815 Sharpe Rd, Anacortes, Washington. You can reach out to her office (for appointments etc.) via phone at
(360) 770-1752.
Connie Colleen Wyatt is licensed to practice in Washington (license number 60850227) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1992345011.
Healthcare Provider's Profile
| Full Name | Connie Colleen Wyatt |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist In Private Practice |
|---|
| Experience | 9 Years |
|---|
| Location | 4815 Sharpe Rd, Anacortes, Washington |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Connie Colleen Wyatt graduated from medical school in 2017
NPI Data:
- NPI Number: 1992345011
- Provider Enumeration Date: 01/07/2020
- Last Update Date: 01/07/2020
Medicare PECOS Information:
- PECOS PAC ID: 9830527639
- Enrollment ID: I20200310001650
Medical Identifiers
Medical identifiers for Connie Colleen Wyatt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992345011 | NPI | - | NPPES |
| 60850227 | Other | WA | OCCUPATIONAL THERAPIST LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225XG0600X | Occupational Therapist - Gerontology | 60850227 (Washington) | Secondary |
| 225XP0019X | Occupational Therapist - Physical Rehabilitation | 60850227 (Washington) | Secondary |
| 225XE0001X | Occupational Therapist - Environmental Modification | 60850227 (Washington) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Pnw Home For Life Pllc | 8921436726 | 3 |
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. Connie Colleen Wyatt allows following entities to bill medicare on her behalf.
| Provider Name | Pnw Home For Life Pllc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1649800608
PECOS PAC ID: 8921436726
Enrollment ID: O20200310000181 |
|---|
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. Connie Colleen Wyatt 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 |
|---|
Connie Colleen Wyatt, OTR/L
4815 Sharpe Rd,
Anacortes, WA 98221-8403
Ph: (360) 770-1752 | Connie Colleen Wyatt, OTR/L
4815 Sharpe Rd,
Anacortes, WA 98221-8403
Ph: (360) 770-1752 |
Reviews and Comments