Jerod Cottom, OTR is a medicare enrolled "Occupational Therapist" provider in Cleveland, Oklahoma. His current practice location is
1401 W Pawnee St, Cleveland, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 358-2501.
Jerod Cottom is licensed to practice in Oklahoma (license number 5419) 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 1922648260.
Healthcare Provider's Profile
| Full Name | Jerod Cottom |
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| Gender | Male |
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| Speciality | Occupational Therapist |
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| Location | 1401 W Pawnee St, Cleveland, Oklahoma |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1922648260
- Provider Enumeration Date: 01/15/2020
- Last Update Date: 01/15/2020
Medicare PECOS Information:
- PECOS PAC ID: 9638507932
- Enrollment ID: I20200320000562
Medical Identifiers
Medical identifiers for Jerod Cottom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922648260 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | 5419 (Oklahoma) | 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. Jerod Cottom allows following entities to bill medicare on his behalf.
| Provider Name | Cleveland Area Hospital Holdings Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1801020565
PECOS PAC ID: 7810053444
Enrollment ID: O20090909000326 |
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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. Jerod Cottom 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 |
|---|
Jerod Cottom, OTR
1401 W Pawnee St,
Cleveland, OK 74020-3033
Ph: (918) 358-2501 | Jerod Cottom, OTR
1401 W Pawnee St,
Cleveland, OK 74020-3033
Ph: (918) 358-2501 |
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