Melissa Magdangal, OTR/L is a medicare enrolled "Occupational Therapist" provider in Corona Del Mar, California. Her current practice location is
2600 Pacific Coast Hwy, Corona Del Mar, California. You can reach out to her office (for appointments etc.) via phone at
(949) 640-2121.
Melissa Magdangal is licensed to practice in California (license number 20970) 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 1467077016.
Healthcare Provider's Profile
| Full Name | Melissa Magdangal |
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| Gender | Female |
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| Speciality | Occupational Therapist |
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| Location | 2600 Pacific Coast Hwy, Corona Del Mar, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1467077016
- Provider Enumeration Date: 06/10/2020
- Last Update Date: 03/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 4688078892
- Enrollment ID: I20210810004017
Medical Identifiers
Medical identifiers for Melissa Magdangal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467077016 | NPI | - | NPPES |
| NA | Other | | NA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | 20970 (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. Melissa Magdangal allows following entities to bill medicare on her behalf.
| Provider Name | Magnolia Physical Therapy Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1982642336
PECOS PAC ID: 0840193561
Enrollment ID: O20040129001233 |
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| Provider Name | Laguna Beach Rehab, Inc. |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1164466785
PECOS PAC ID: 4688686538
Enrollment ID: O20060615000176 |
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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. Melissa Magdangal 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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Melissa Magdangal, OTR/L
1591 Paradise Cir,
Beaumont, CA 92223-8547
Ph: () - | Melissa Magdangal, OTR/L
2600 Pacific Coast Hwy,
Corona Del Mar, CA 92625-2117
Ph: (949) 640-2121 |
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