Mr Mark Dejesus, OT in Emporia, KS - Medicare Occupational Therapist Provider

Mr Mark Dejesus, OT is a medicare enrolled "Occupational Therapist" provider in Emporia, Kansas. His current practice location is 623 Commercial St, Emporia, Kansas. You can reach out to his office (for appointments etc.) via phone at (620) 803-1855.

Mr Mark Dejesus is licensed to practice in Kansas (license number 1701739) 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 1225249642.

Contact Information

	Mr Mark Dejesus, OT
	623 Commercial St, Emporia, KS 66801-3901
	(620) 803-1855
	(620) 208-4488

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Mark Dejesus
Gender	Male
Speciality	Occupational Therapist
Location	623 Commercial St, Emporia, Kansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225249642
Provider Enumeration Date: 05/25/2007
Last Update Date: 02/21/2025

Medicare PECOS Information:

PECOS PAC ID: 1557738408
Enrollment ID: I20221104002396

Medical Identifiers

Medical identifiers for Mr Mark Dejesus such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225249642	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	1701739 (Kansas)	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. Mr Mark Dejesus allows following entities to bill medicare on his behalf.

Provider Name	Emporia Myofascial Care3
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1306569660 PECOS PAC ID: 0648647594 Enrollment ID: O20221104002249

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. Mr Mark Dejesus 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
Mr Mark Dejesus, OT 623 Commercial St, Emporia, KS 66801-3901 Ph: (620) 803-1855	Mr Mark Dejesus, OT 623 Commercial St, Emporia, KS 66801-3901 Ph: (620) 803-1855

Reviews and Comments

Occupational Therapist in Emporia, KS

Jennifer Kathleen Sakovitz, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2300 Industrial Rd, Emporia, KS 66801 Phone: 913-940-8612
Brenda Lee, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 W 12th Ave, Emporia, KS 66801 Phone: 620-343-6800 Fax: 620-340-6187
Emporia Myofascial Care3 Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2522 W 15th Ave, Emporia, KS 66801 Phone: 620-803-2097
Miss Janice Leann Cook, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 W 12th Ave, Emporia, KS 66801 Phone: 620-343-6800
Ms. Julia L Gotchall, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 W 12th Ave, Emporia, KS 66801 Phone: 620-343-6800
Tina Michelle Hauff, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 State St, Emporia, KS 66801 Phone: 620-343-2693

Mr Mark Dejesus, OT - Medicare Occupational Therapist in Emporia, KS