Ms Blair Renee Church, OTR/L in Stamford, CT - Medicare Occupational Therapy Provider

Ms Blair Renee Church, OTR/L is a medicare enrolled "Occupational Therapist" provider in Stamford, Connecticut. She graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Occupational Therapy. She is a member of the group practice Fox Rehab Ot Ct Llc and her current practice location is 14 2nd St, Stamford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 883-1510.

Ms Blair Renee Church is licensed to practice in Connecticut (license number 5492) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1023621224.

Contact Information

	Ms Blair Renee Church, OTR/L
	14 2nd St, Stamford, CT 06905-5151
	(203) 883-1510
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Blair Renee Church
Gender	Female
Speciality	Occupational Therapy
Experience	4 Years
Location	14 2nd St, Stamford, Connecticut
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Blair Renee Church graduated from medical school in 2020

NPI Data:

NPI Number: 1023621224
Provider Enumeration Date: 08/26/2020
Last Update Date: 08/26/2020

Medicare PECOS Information:

PECOS PAC ID: 0547688434
Enrollment ID: I20200909000939

Medical Identifiers

Medical identifiers for Ms Blair Renee Church such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023621224	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	5492 (Connecticut)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fox Rehab Ot Ct Llc	1658683123	50

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. Ms Blair Renee Church allows following entities to bill medicare on her behalf.

Provider Name	Fox Rehab Ot Ct Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1912251992 PECOS PAC ID: 1658683123 Enrollment ID: O20150713000619

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. Ms Blair Renee Church 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
Ms Blair Renee Church, OTR/L 415 Pequot Ave, New London, CT 06320-4407 Ph: (860) 608-5498	Ms Blair Renee Church, OTR/L 14 2nd St, Stamford, CT 06905-5151 Ph: (203) 883-1510

Reviews and Comments

Occupational Therapist in Stamford, CT

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Taylor Paige Doering, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Plz, Stamford, CT 06902 Phone: 203-276-1000

Ms Blair Renee Church, OTR/L - Medicare Occupational Therapist in Stamford, CT