Jo Ellen Tennyson-samson, OTR is a medicare enrolled "Occupational Therapist" provider in Soquel, California. She graduated from medical school in 1988 and has 38 years of diverse experience with area of expertise as Occupational Therapist In Private Practice. 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 | Occupational Therapist In Private Practice |
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| Experience | 38 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. |
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Medical Education and Training:
- Jo Ellen Tennyson-samson graduated from medical school in 1988
NPI Data:
- NPI Number: 1942394838
- Provider Enumeration Date: 10/03/2006
- Last Update Date: 05/27/2022
Medicare PECOS Information:
- PECOS PAC ID: 3072505858
- Enrollment ID: I20050420000765
Medical Identifiers
Medical identifiers for Jo Ellen Tennyson-samson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1942394838 | NPI | - | NPPES |
| 09052006467538 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | OT2254 (California) | 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. Jo Ellen Tennyson-samson allows following entities to bill medicare on her behalf.
| Provider Name | Svmhs Clinics |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1093158347
PECOS PAC ID: 1456592351
Enrollment ID: O20130718000197 |
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| Provider Name | Precision Physical Therapy & Fitness |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1639534225
PECOS PAC ID: 9234435215
Enrollment ID: O20160317001062 |
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| Provider Name | Jo Ellen Tennyson Samson |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1689332546
PECOS PAC ID: 1254705452
Enrollment ID: O20230329000717 |
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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. 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 |
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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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