Hailey Sanda Clark, OTR/L in Walpole, MA - Medicare Occupational Therapist Provider

Hailey Sanda Clark, OTR/L is a medicare enrolled "Occupational Therapist" provider in Walpole, Massachusetts. Her current practice location is 160 Main St # 4037, Walpole, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 660-3080.

Hailey Sanda Clark is licensed to practice in Massachusetts (license number 41678) 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 1235907999.

Contact Information

	Hailey Sanda Clark, OTR/L
	160 Main St # 4037, Walpole, MA 02081-4037
	(508) 660-3080
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Hailey Sanda Clark
Gender	Female
Speciality	Occupational Therapist
Location	160 Main St # 4037, Walpole, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235907999
Provider Enumeration Date: 12/12/2023
Last Update Date: 12/12/2023

Medicare PECOS Information:

PECOS PAC ID: 0749711935
Enrollment ID: I20240928000157

Medical Identifiers

Medical identifiers for Hailey Sanda Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235907999	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	41678 (Massachusetts)	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. Hailey Sanda Clark allows following entities to bill medicare on her behalf.

Provider Name	Healthpro Heritage Rehab & Fitness Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1922473750 PECOS PAC ID: 6507832573 Enrollment ID: O20160121000932

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. Hailey Sanda Clark 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
Hailey Sanda Clark, OTR/L 95 West St Unit 1215, Walpole, MA 02081-1857 Ph: (508) 507-1547	Hailey Sanda Clark, OTR/L 160 Main St # 4037, Walpole, MA 02081-4037 Ph: (508) 660-3080

Reviews and Comments

Occupational Therapist in Walpole, MA

Elizabeth O'hare, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 160 Main St, Walpole, MA 02081 Phone: 508-505-9541
Emily Moran, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 399 Lincoln Rd, Walpole, MA 02081 Phone: 508-668-7703
Katrina Rusnak, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 399 Lincoln Rd, Walpole, MA 02081 Phone: 508-668-7703
Leah Barker, MOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 160 Main St, Walpole, MA 02081 Phone: 508-660-3080
Amy Shaw, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3 Regan Rd, Walpole, MA 02081 Phone: 508-314-3820
Kayla Marie Deperno, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1776 Washington St, Walpole, MA 02081 Phone: 508-208-8438
Layne Ward, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 180 Main St, Walpole, MA 02081 Phone: 774-203-9071

Hailey Sanda Clark, OTR/L - Medicare Occupational Therapist in Walpole, MA