Mikenna Marie O'donnell, OTR/L is a medicare enrolled "Occupational Therapist" provider in Baker, Montana. Her current practice location is
202 S 4th St W, Baker, Montana. You can reach out to her office (for appointments etc.) via phone at
(406) 778-3331.
Mikenna Marie O'donnell is licensed to practice in Montana (license number OTP-OT-LIC-6625) 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 1033676630.
Healthcare Provider's Profile
| Full Name | Mikenna Marie O'donnell |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 202 S 4th St W, Baker, Montana |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1033676630
- Provider Enumeration Date: 03/01/2019
- Last Update Date: 03/01/2019
Medicare PECOS Information:
- PECOS PAC ID: 7113386475
- Enrollment ID: I20230705000582
Medical Identifiers
Medical identifiers for Mikenna Marie O'donnell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033676630 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | OTP-OT-LIC-6625 (Montana) | 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. Mikenna Marie O'donnell allows following entities to bill medicare on her behalf.
| Provider Name | Fallon Medical Complex Inc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1386700763
PECOS PAC ID: 0941119499
Enrollment ID: O20040614000391 |
|---|
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. Mikenna Marie O'donnell 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 |
|---|
Mikenna Marie O'donnell, OTR/L
Po Box 1015,
Baker, MT 59313-1015
Ph: (406) 702-5026 | Mikenna Marie O'donnell, OTR/L
202 S 4th St W,
Baker, MT 59313-9156
Ph: (406) 778-3331 |
Reviews and Comments