Latoddia Shedor Maze, in Hampton, GA - Medicare Occupational Therapist Provider

Latoddia Shedor Maze, is a medicare enrolled "Occupational Therapist" provider in Hampton, Georgia. His current practice location is 3701 Royer Ln, Hampton, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 956-4418.

Latoddia Shedor Maze is licensed to practice in Georgia (license number OT006942) 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 1366010167.

Contact Information

	Latoddia Shedor Maze,
	3701 Royer Ln, Hampton, GA 30228-6068
	(404) 956-4418
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Latoddia Shedor Maze
Gender	Male
Speciality	Occupational Therapist
Location	3701 Royer Ln, Hampton, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366010167
Provider Enumeration Date: 06/16/2021
Last Update Date: 11/01/2023

Medicare PECOS Information:

PECOS PAC ID: 8325430481
Enrollment ID: I20220121001806

Medical Identifiers

Medical identifiers for Latoddia Shedor Maze such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366010167	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT006942 (Georgia)	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. Latoddia Shedor Maze allows following entities to bill medicare on his behalf.

Provider Name	Next Step Therapy Services
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1215671045 PECOS PAC ID: 9032652680 Enrollment ID: O20240624003368

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. Latoddia Shedor Maze 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
Latoddia Shedor Maze, 3701 Royer Ln, Hampton, GA 30228-6068 Ph: (404) 823-8437	Latoddia Shedor Maze, 3701 Royer Ln, Hampton, GA 30228-6068 Ph: (404) 956-4418

Reviews and Comments

Occupational Therapist in Hampton, GA

Linda B Beard-bolton, LPC Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4565 Cloister Cir, Hampton, GA 30228 Phone: 678-575-6482
Independent Physical Therapy Of Ga, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11365 Tara Blvd, Hampton, GA 30228 Phone: 770-999-0849 Fax: 770-999-9414
Nikkia Hodge-drain, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 605 Penstock Path, Hampton, GA 30228 Phone: 718-427-6103
Dr. Nieeunta Jasmine Ward, OTD, MSOT, OTR/L Occupational Therapist Medicare: May Accept Medicare Assignments Practice Location: 1903 Simmons Ln, Hampton, GA 30228 Phone: 470-649-7140

Latoddia Shedor Maze, - Medicare Occupational Therapist in Hampton, GA