Samantha Harlan, OTD, OTR/L in Belleville, IL - Medicare Occupational Therapist Provider

Samantha Harlan, OTD, OTR/L is a medicare enrolled "Occupational Therapist" provider in Belleville, Illinois. Her current practice location is 2900 Frank Scott Pkwy W Ste 930, Belleville, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 234-9705.

Samantha Harlan is licensed to practice in Illinois (license number 056016612) 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 1720760143.

Contact Information

	Samantha Harlan, OTD, OTR/L
	2900 Frank Scott Pkwy W Ste 930, Belleville, IL 62223-5010
	(618) 234-9705
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Samantha Harlan
Gender	Female
Speciality	Occupational Therapist
Location	2900 Frank Scott Pkwy W Ste 930, Belleville, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720760143
Provider Enumeration Date: 08/04/2023
Last Update Date: 07/01/2025

Medicare PECOS Information:

PECOS PAC ID: 5991167744
Enrollment ID: I20230811000226

Medical Identifiers

Medical identifiers for Samantha Harlan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720760143	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	121648 (Iowa)	Secondary
225X00000X	Occupational Therapist	056016612 (Illinois)	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. Samantha Harlan allows following entities to bill medicare on her behalf.

Provider Name	Total Rehab-orthopedic And Sports Specialist, P.c.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1700986304 PECOS PAC ID: 4789621723 Enrollment ID: O20050412000583

Provider Name	Fox Rehab Ot Ia Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1073274585 PECOS PAC ID: 5890180814 Enrollment ID: O20220309002281

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. Samantha Harlan 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
Samantha Harlan, OTD, OTR/L 2900 Frank Scott Pkwy W Ste 930, Belleville, IL 62223-5010 Ph: () -	Samantha Harlan, OTD, OTR/L 2900 Frank Scott Pkwy W Ste 930, Belleville, IL 62223-5010 Ph: (618) 234-9705

Reviews and Comments

Occupational Therapist in Belleville, IL

Therese M Seibert, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2810 Frank Scott Pkwy W, Ste 824, Belleville, IL 62223 Phone: 618-234-9705 Fax: 618-257-0665
Tracy Parker, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2810 Frank Scott Pkwy W, Ste 824, Belleville, IL 62223 Phone: 618-234-9705 Fax: 618-257-0665
Susan Kay Mclaughlin, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2810 Frank Scott Pkwy W, Suite 824, Belleville, IL 62223 Phone: 618-234-9705 Fax: 618-257-0665
Heather Cowden, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 305 Country Club Acres, Belleville, IL 62223 Phone: 618-973-8137
Kathryn Stump, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2411 Pathways Xing, Belleville, IL 62221 Phone: 618-355-4700
Pyrkia Health Services Pllc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 101 Lake Forest Dr, Belleville, IL 62220 Phone: 618-873-3710
Kristie Lynne Porter, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 106 Lincoln Place Ct, Belleville, IL 62221 Phone: 618-236-7588

Samantha Harlan, OTD, OTR/L - Medicare Occupational Therapist in Belleville, IL