Jeremy Etisomba, OTR/L - Medicare Occupational Therapist in Cincinnati, OH

Jeremy Etisomba, OTR/L is a medicare enrolled "Occupational Therapist" provider in Cincinnati, Ohio. His current practice location is 11440 Rose Ln, Cincinnati, Ohio. You can reach out to his office (for appointments etc.) via phone at (513) 667-6033.

Jeremy Etisomba is licensed to practice in Ohio (license number OT010001) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1609379718.

Contact Information

Jeremy Etisomba, OTR/L
11440 Rose Ln,
Cincinnati, OH 45246-2922
(513) 667-6033
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJeremy Etisomba
GenderMale
SpecialityOccupational Therapist
Location11440 Rose Ln, Cincinnati, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609379718
  • Provider Enumeration Date: 03/14/2018
  • Last Update Date: 02/06/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5193105161
  • Enrollment ID: I20220707003794

Medical Identifiers

Medical identifiers for Jeremy Etisomba such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609379718NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist OT010001 (Ohio)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. Jeremy Etisomba allows following entities to bill medicare on his behalf.
Provider NameAffordable Home Health Care Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1861413999
PECOS PAC ID: 9739192147
Enrollment ID: O20130129000550
Provider NameParagon Outpatient Rehabilitation Services, Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1871867325
PECOS PAC ID: 8022272848
Enrollment ID: O20160728001716
Provider NameFox Rehabilitation Services Oh, Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1265968481
PECOS PAC ID: 1254698350
Enrollment ID: O20171128001417

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. Jeremy Etisomba 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
Jeremy Etisomba, OTR/L
11440 Rose Ln,
Cincinnati, OH 45246-2922

Ph: (513) 667-6033
Jeremy Etisomba, OTR/L
11440 Rose Ln,
Cincinnati, OH 45246-2922

Ph: (513) 667-6033

Reviews and Comments


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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.