Mrs Laura Michele Nystrom, OTR/L in Walnut Creek, CA - Medicare Occupational Therapist Provider

Mrs Laura Michele Nystrom, OTR/L is a medicare enrolled "Occupational Therapist - Physical Rehabilitation" provider in Walnut Creek, California. Her current practice location is 1425 S Main St, Walnut Creek, California. You can reach out to her office (for appointments etc.) via phone at (925) 295-4030.

Mrs Laura Michele Nystrom is licensed to practice in California (license number 15471) 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 1609502137.

Contact Information

	Mrs Laura Michele Nystrom, OTR/L
	1425 S Main St, Walnut Creek, CA 94596-5318
	(925) 295-4030
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Laura Michele Nystrom
Gender	Female
Speciality	Occupational Therapist - Physical Rehabilitation
Location	1425 S Main St, Walnut Creek, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609502137
Provider Enumeration Date: 07/27/2022
Last Update Date: 11/05/2022

Medicare PECOS Information:

PECOS PAC ID: 8527439868
Enrollment ID: I20230124000697

Medical Identifiers

Medical identifiers for Mrs Laura Michele Nystrom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609502137	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225XP0019X	Occupational Therapist - Physical Rehabilitation	15471 (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. Mrs Laura Michele Nystrom allows following entities to bill medicare on her behalf.

Provider Name	Permanente Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 Laura Michele Nystrom 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 Laura Michele Nystrom, OTR/L 1316 Encore Dr, Fairfield, CA 94534-3502 Ph: () -	Mrs Laura Michele Nystrom, OTR/L 1425 S Main St, Walnut Creek, CA 94596-5318 Ph: (925) 295-4030

Reviews and Comments

Occupational Therapist in Walnut Creek, CA

Eden Natalie Wong, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2801 Shadelands Dr, Walnut Creek, CA 94598 Phone: 800-967-4667
Ms. Molly Beth Sanchez, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 117 El Camino Corto, Walnut Creek, CA 94596 Phone: 209-209-9073
Crystal Fuentez, OTD, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2801 Shadelands Dr, Walnut Creek, CA 94598 Phone: 925-794-8151
Dr. Hoi Ki Kan, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3050 Del Hombre Ln Apt 408, Walnut Creek, CA 94597 Phone: 510-588-6392
Allison Gillies, OTR/L, CBIS Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1914 Tice Valley Blvd, Walnut Creek, CA 94595 Phone: 925-930-0774
Linda Fung, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1580 Geary Rd, Walnut Creek, CA 94597 Phone: 925-954-1436
Ms. Virginia Virginia Charles Bodner, MS OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1986 Fair Ridge Ct, Walnut Creek, CA 94597 Phone: 973-901-1495

Mrs Laura Michele Nystrom, OTR/L - Medicare Occupational Therapist in Walnut Creek, CA