Jody J Victoria, OT in Springfield, OR - Medicare Occupational Therapist Provider

Jody J Victoria, OT is a medicare enrolled "Occupational Therapist" provider in Springfield, Oregon. Her current practice location is 1300 C St, Springfield, Oregon. You can reach out to her office (for appointments etc.) via phone at (208) 703-9661.

Jody J Victoria is licensed to practice in Oregon (license number 234481) 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 1790158830.

Contact Information

	Jody J Victoria, OT
	1300 C St, Springfield, OR 97477-4850
	(208) 703-9661
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jody J Victoria
Gender	Female
Speciality	Occupational Therapist
Location	1300 C St, Springfield, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790158830
Provider Enumeration Date: 11/12/2015
Last Update Date: 11/12/2015

Medicare PECOS Information:

PECOS PAC ID: 9335687425
Enrollment ID: I20240820004292

Medical Identifiers

Medical identifiers for Jody J Victoria such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790158830	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	234481 (Oregon)	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. Jody J Victoria allows following entities to bill medicare on her behalf.

Provider Name	At Home By Enhance Therapies Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1124603246 PECOS PAC ID: 4183033210 Enrollment ID: O20210503001929

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. Jody J Victoria 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
Jody J Victoria, OT 1300 C St, Springfield, OR 97477-4850 Ph: (208) 703-9661	Jody J Victoria, OT 1300 C St, Springfield, OR 97477-4850 Ph: (208) 703-9661

Reviews and Comments

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Jody J Victoria, OT - Medicare Occupational Therapist in Springfield, OR