Making Waves Pediatric Therapy Llc is a medicare enrolled "Occupational Therapist - Pediatrics" provider in West Olive, Michigan. Their current practice location is
14482 Tupelo Dr, West Olive, Michigan. You can reach out to their office (for appointments etc.) via phone at
(269) 779-1380.
Making Waves Pediatric Therapy Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Making Waves Pediatric Therapy Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1881410207.
Healthcare Provider's Profile
Full Name | Making Waves Pediatric Therapy Llc |
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Type | Facility |
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Speciality | Occupational Therapist - Pediatrics |
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Location | 14482 Tupelo Dr, West Olive, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1881410207
- Provider Enumeration Date: 12/02/2024
- Last Update Date: 03/06/2025
Medicare PECOS Information:
- PECOS PAC ID: 3577088129
- Enrollment ID: O20250416002806
Medical Identifiers
Medical identifiers for Making Waves Pediatric Therapy Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881410207 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Making Waves Pediatric Therapy Llc acts as a billing entity for following providers:
Provider Name | Zoey M Dekker |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1972086379 PECOS PAC ID: 8426302662 Enrollment ID: I20181107000832 |
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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. Making Waves Pediatric Therapy Llc 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 |
Making Waves Pediatric Therapy Llc 14482 Tupelo Dr, West Olive, MI 49460-8621 Ph: (269) 779-1380 | Making Waves Pediatric Therapy Llc 14482 Tupelo Dr, West Olive, MI 49460-8621 Ph: (269) 779-1380 |
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