Prof Joshua Chase Humphrey, OTR is a medicare enrolled "Occupational Therapist" provider in Mendota, Illinois. His current practice location is
1201 1st Ave, Mendota, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 539-6745.
Prof Joshua Chase Humphrey is licensed to practice in Louisiana (license number OTT.200092) 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 1326239492.
Healthcare Provider's Profile
Full Name | Prof Joshua Chase Humphrey |
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Gender | Male |
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Speciality | Occupational Therapist |
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Location | 1201 1st Ave, Mendota, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1326239492
- Provider Enumeration Date: 08/05/2007
- Last Update Date: 05/16/2025
Medicare PECOS Information:
- PECOS PAC ID: 0547354714
- Enrollment ID: I20250605002330
Medical Identifiers
Medical identifiers for Prof Joshua Chase Humphrey such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326239492 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 056.012055 (Illinois) | Secondary |
225X00000X | Occupational Therapist | OTT.200092 (Louisiana) | 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. Prof Joshua Chase Humphrey allows following entities to bill medicare on his behalf.
Provider Name | Fox Rehabilitation Services Il Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1114443462 PECOS PAC ID: 8224379763 Enrollment ID: O20190409003124 |
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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. Prof Joshua Chase Humphrey 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 |
Prof Joshua Chase Humphrey, OTR 17370 Timber Dr, Sterling, IL 61081-9281 Ph: (815) 440-4596 | Prof Joshua Chase Humphrey, OTR 1201 1st Ave, Mendota, IL 61342-1815 Ph: (815) 539-6745 |
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