Elisa Dali Fuentes, OTR/L in San Bernardino, CA - Medicare Occupational Therapist Provider

Elisa Dali Fuentes, OTR/L is a medicare enrolled "Occupational Therapist - Pediatrics" provider in San Bernardino, California. Her current practice location is 275 W Hospitality Ln Ste 100, San Bernardino, California. You can reach out to her office (for appointments etc.) via phone at (909) 567-2221.

Elisa Dali Fuentes is licensed to practice in * (Not Available) (license number ) 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 1871273979.

Contact Information

	Elisa Dali Fuentes, OTR/L
	275 W Hospitality Ln Ste 100, San Bernardino, CA 92408-3238
	(909) 567-2221
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Elisa Dali Fuentes
Gender	Female
Speciality	Occupational Therapist - Pediatrics
Location	275 W Hospitality Ln Ste 100, San Bernardino, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871273979
Provider Enumeration Date: 07/24/2023
Last Update Date: 07/24/2023

Medicare PECOS Information:

PECOS PAC ID: 0941661011
Enrollment ID: I20230804003293

Medical Identifiers

Medical identifiers for Elisa Dali Fuentes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871273979	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225XP0019X	Occupational Therapist - Physical Rehabilitation	(* (Not Available))	Secondary
225XG0600X	Occupational Therapist - Gerontology	(* (Not Available))	Secondary
225XP0200X	Occupational Therapist - Pediatrics	(* (Not Available))	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. Elisa Dali Fuentes allows following entities to bill medicare on her behalf.

Provider Name	Transit Physical Therapy Pc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1417485889 PECOS PAC ID: 3274899315 Enrollment ID: O20180116002526

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. Elisa Dali Fuentes 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
Elisa Dali Fuentes, OTR/L 25817 Van Leuven St Apt 147, Loma Linda, CA 92354-2553 Ph: (404) 661-7784	Elisa Dali Fuentes, OTR/L 275 W Hospitality Ln Ste 100, San Bernardino, CA 92408-3238 Ph: (909) 567-2221

Reviews and Comments

Occupational Therapist in San Bernardino, CA

Nancy Elizabeth Maurer, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 410 E Parkcenter Cir N, San Bernardino, CA 92408 Phone: 909-890-2800 Fax: 909-890-9615
Jessica Nathania, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 E Vanderbilt Way Ste 100, San Bernardino, CA 92408 Phone: 909-567-2661
Ms. Patrice Annie Udo, OTD Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1845 Business Center Dr Ste 127, San Bernardino, CA 92408 Phone: 909-890-9030 Fax: 909-890-4393
Nichole Vasquez, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-883-8711
Eulalia Rodriguez, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1908 Business Center Dr Ste 220, San Bernardino, CA 92408 Phone: 909-890-5930
Mrs. Arezou Salamat, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1908 Business Center Dr, Suite # 220, San Bernardino, CA 92408 Phone: 909-890-5930
Todd Christopher Churchill, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1845 Business Center Dr Ste 127, San Bernardino, CA 92408 Phone: 909-890-9030 Fax: 909-890-4393

Elisa Dali Fuentes, OTR/L - Medicare Occupational Therapist in San Bernardino, CA