Jo Ellen Tennyson-samson, OTR is a medicare enrolled "Occupational Therapist" provider in Soquel, California. Her current practice location is
3031 N Main St, Soquel, California. You can reach out to her office (for appointments etc.) via phone at
(831) 458-6230.
Jo Ellen Tennyson-samson is licensed to practice in California (license number OT2254) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1942394838.
Healthcare Provider's Profile
Full Name | Jo Ellen Tennyson-samson |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 3031 N Main St, Soquel, California |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jo Ellen Tennyson-samson attended and graduated from in
NPI Data:
- NPI Number: 1942394838
- Provider Enumeration Date: 10/03/2006
- Last Update Date: 05/27/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Jo Ellen Tennyson-samson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942394838 | NPI | - | NPPES |
09052006467538 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | OT2254 (California) | Primary |
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. Jo Ellen Tennyson-samson 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 |
Jo Ellen Tennyson-samson, OTR Po Box 1758, Capitola, CA 95010-1758 Ph: (831) 531-8277 | Jo Ellen Tennyson-samson, OTR 3031 N Main St, Soquel, CA 95073-2204 Ph: (831) 458-6230 |
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