Ms Telisa T Wardlaw, OTR - Medicare Occupational Therapist in Rosedale, NY

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Ms Telisa T Wardlaw, OTR is a medicare enrolled "Occupational Therapist" provider in Rosedale, New York. Her current practice location is 220-28 147th Avenue, Rosedale, New York. You can reach out to her office (for appointments etc.) via phone at (718) 276-1600.

Ms Telisa T Wardlaw is licensed to practice in New York (license number 016130-1) 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 1164588158.

Contact Information

Ms Telisa T Wardlaw, OTR
220-28 147th Avenue,
Rosedale, NY 11413
(718) 276-1600
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMs Telisa T Wardlaw
GenderFemale
SpecialityOccupational Therapist
Location220-28 147th Avenue, Rosedale, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164588158
  • Provider Enumeration Date: 12/28/2006
  • Last Update Date: 01/19/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 4385012038
  • Enrollment ID: I20221130001365

Medical Identifiers

Medical identifiers for Ms Telisa T Wardlaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164588158NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 016130-1 (New York)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. Ms Telisa T Wardlaw allows following entities to bill medicare on her behalf.
Provider NameDynamic Physical Therapy Rehab Of Ny Pc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1134775174
PECOS PAC ID: 1759611759
Enrollment ID: O20190917003945
Provider NameCore Therapy Services Pt Ot Pllc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1679217368
PECOS PAC ID: 4587041512
Enrollment ID: O20220513000291

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 Telisa T Wardlaw 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 AddressPractice Location Address
Ms Telisa T Wardlaw, OTR
17030 130th Ave, Apt 13a,
Jamaica, NY 11434-6002

Ph: (917) 650-1126		Ms Telisa T Wardlaw, OTR
220-28 147th Avenue,
Rosedale, NY 11413

Ph: (718) 276-1600

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.