Mrs Laiken Blackwell, in Enterprise, AL - Medicare Occupational Therapist Provider

Mrs Laiken Blackwell, is a medicare enrolled "Occupational Therapist" provider in Enterprise, Alabama. Her current practice location is 1032 Boll Weevil Cir Ste E-g, Enterprise, Alabama. You can reach out to her office (for appointments etc.) via phone at (334) 677-6360.

Mrs Laiken Blackwell is licensed to practice in Alabama (license number 5526) 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 1588497259.

Contact Information

	Mrs Laiken Blackwell,
	1032 Boll Weevil Cir Ste E-g, Enterprise, AL 36330-1381
	(334) 677-6360
	(334) 475-2021

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Laiken Blackwell
Gender	Female
Speciality	Occupational Therapist
Location	1032 Boll Weevil Cir Ste E-g, Enterprise, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588497259
Provider Enumeration Date: 08/20/2024
Last Update Date: 08/20/2024

Medicare PECOS Information:

PECOS PAC ID: 0244758530
Enrollment ID: I20250520002211

Medical Identifiers

Medical identifiers for Mrs Laiken Blackwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588497259	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	5526 (Alabama)	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. Mrs Laiken Blackwell allows following entities to bill medicare on her behalf.

Provider Name	Full Circle Therapy, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1043031313 PECOS PAC ID: 2365970233 Enrollment ID: O20250107001369

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. Mrs Laiken Blackwell 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
Mrs Laiken Blackwell, 118 Adris Pl, Dothan, AL 36303-1997 Ph: (334) 677-6360	Mrs Laiken Blackwell, 1032 Boll Weevil Cir Ste E-g, Enterprise, AL 36330-1381 Ph: (334) 677-6360

Reviews and Comments

Occupational Therapist in Enterprise, AL

Joyce Scott, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1032 Boll Weevil Cir Ste F-g, Enterprise, AL 36330 Phone: 334-475-2006 Fax: 334-475-2021
Carrie Ann Flowers, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 552 Veterans Pkwy, Enterprise, AL 36330 Phone: 334-242-5077
Hannah Phillips, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1032 Boll Weevil Cir Ste E-g, Enterprise, AL 36330 Phone: 334-475-2006 Fax: 334-475-2021
Elizabeth George, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1032 Boll Weevil Cir Ste E-g, Enterprise, AL 36330 Phone: 334-475-2006 Fax: 334-475-2021

Mrs Laiken Blackwell, - Medicare Occupational Therapist in Enterprise, AL