Mr Samuel Smith, OTR/L in Roosevelt, UT - Medicare Occupational Therapist Provider

Mr Samuel Smith, OTR/L is a medicare enrolled "Occupational Therapist" provider in Roosevelt, Utah. His current practice location is 1010 E 200 N, Roosevelt, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 823-1769.

Mr Samuel Smith is licensed to practice in Utah (license number 10685382-4201) 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 1922725159.

Contact Information

	Mr Samuel Smith, OTR/L
	1010 E 200 N, Roosevelt, UT 84066-2585
	(435) 823-1769
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Samuel Smith
Gender	Male
Speciality	Occupational Therapist
Location	1010 E 200 N, Roosevelt, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922725159
Provider Enumeration Date: 10/27/2022
Last Update Date: 10/27/2022

Medicare PECOS Information:

PECOS PAC ID: 8022548924
Enrollment ID: I20250206003555

Medical Identifiers

Medical identifiers for Mr Samuel Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922725159	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	10685382-4201 (Utah)	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 Samuel Smith allows following entities to bill medicare on his behalf.

Provider Name	Basin Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1215557434 PECOS PAC ID: 2365866332 Enrollment ID: O20200723000709

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 Samuel Smith 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 Samuel Smith, OTR/L 261 E 1080 S, Roosevelt, UT 84066-3809 Ph: (801) 636-7891	Mr Samuel Smith, OTR/L 1010 E 200 N, Roosevelt, UT 84066-2585 Ph: (435) 823-1769

Reviews and Comments

Occupational Therapist in Roosevelt, UT

Royce Porter, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-725-7448
Greg Neilsen, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-722-6186
Ryan James Avery, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-722-4691
Amanda Garner, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 136 South 500 East, Roosevelt, UT 84066 Phone: 435-709-6553 Fax: 435-236-2282

Mr Samuel Smith, OTR/L - Medicare Occupational Therapist in Roosevelt, UT