Elisheva Chana Jacobson, OTR/L in Suffern, NY - Medicare Occupational Therapist Provider

Elisheva Chana Jacobson, OTR/L is a medicare enrolled "Occupational Therapist" provider in Suffern, New York. Her current practice location is 56 Pomona Rd, Suffern, New York. You can reach out to her office (for appointments etc.) via phone at (845) 362-5555.

Elisheva Chana Jacobson is licensed to practice in New York (license number 011810-1) 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 1558516740.

Contact Information

	Elisheva Chana Jacobson, OTR/L
	56 Pomona Rd, Suffern, NY 10901-1800
	(845) 362-5555
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Elisheva Chana Jacobson
Gender	Female
Speciality	Occupational Therapist
Location	56 Pomona Rd, Suffern, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558516740
Provider Enumeration Date: 12/01/2008
Last Update Date: 06/29/2020

Medicare PECOS Information:

PECOS PAC ID: 4385904259
Enrollment ID: I20180214001902

Medical Identifiers

Medical identifiers for Elisheva Chana Jacobson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558516740	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	46TR00318700 (New Jersey)	Secondary
225X00000X	Occupational Therapist	011810-1 (New York)	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. Elisheva Chana Jacobson allows following entities to bill medicare on her behalf.

Provider Name	On The Ball Occupational Therapy Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1407255789 PECOS PAC ID: 1850788753 Enrollment ID: O20220425000018

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. Elisheva Chana Jacobson 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
Elisheva Chana Jacobson, OTR/L 56 Pomona Rd, Suffern, NY 10901-1800 Ph: (917) 497-1877	Elisheva Chana Jacobson, OTR/L 56 Pomona Rd, Suffern, NY 10901-1800 Ph: (845) 362-5555

Reviews and Comments

Occupational Therapist in Suffern, NY

Basya Grunwald, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3 Essex Ln Apt C1, Suffern, NY 10901 Phone: 845-422-3399
Michelle Rappaport, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 56 Pomona Rd, Suffern, NY 10901 Phone: 845-307-7200
Susan Cohen Levy, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 24 Powder Horn Dr, Suffern, NY 10901 Phone: 845-362-7686 Fax: 845-362-4129
Mrs. Laura M. Acheson, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 25 Chestnut St, Suffern, NY 10901 Phone: 845-357-4733
Shira C Block, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 20 Hillside Ct, Suffern, NY 10901 Phone: 917-754-1217
Mrs. Lisa R. Fox, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7 Hillside Ter, Suffern, NY 10901 Phone: 845-354-5829
Patricia Marieeileen Mahancrescimanno, MS,OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 50 Montebello Rd, Suffern, NY 10901 Phone: 845-357-4466

Elisheva Chana Jacobson, OTR/L - Medicare Occupational Therapist in Suffern, NY