Samantha Ortiz, in Warren, MI - Medicare Occupational Therapist Provider

Samantha Ortiz, is a medicare enrolled "Occupational Therapist" provider in Warren, Michigan. Her current practice location is 31800 Van Dyke Ave, Warren, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 722-2585.

Samantha Ortiz is licensed to practice in * (Not Available) (license number ) 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 1821598673.

Contact Information

	Samantha Ortiz,
	31800 Van Dyke Ave, Warren, MI 48093-7907
	(586) 722-2585
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Samantha Ortiz
Gender	Female
Speciality	Occupational Therapist
Location	31800 Van Dyke Ave, Warren, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821598673
Provider Enumeration Date: 02/19/2018
Last Update Date: 02/19/2018

Medicare PECOS Information:

PECOS PAC ID: 3274051503
Enrollment ID: I20250520001084

Medical Identifiers

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

Identifier	Type	State	Issuer
1821598673	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	(* (Not Available))	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 Ortiz allows following entities to bill medicare on her behalf.

Provider Name	Form & Focus- Rehab & Wellness Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1417634296 PECOS PAC ID: 9133580152 Enrollment ID: O20230807001827

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 Ortiz 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 Ortiz, 607 Dewey Ave Nw, Grand Rapids, MI 49504-7335 Ph: () -	Samantha Ortiz, 31800 Van Dyke Ave, Warren, MI 48093-7907 Ph: (586) 722-2585

Reviews and Comments

Occupational Therapist in Warren, MI

Danielle Rodzik, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11012 E 13 Mile Rd, Warren, MI 48093 Phone: 586-573-8890
Ms. Bernadette Kosir, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 30250 Merrick Ave, Warren, MI 48092 Phone: 586-751-2474
Rochelle Rossman Reichel, OTR/L, CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 31246 Frank Dr, Warren, MI 48093 Phone: 586-604-9999 Fax: 586-979-3449
Hannah Marie Suciu, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11012 E 13 Mile Rd Ste 200, Warren, MI 48093 Phone: 586-573-8890
Rachel Banados, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12000 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5731
Nicholas Demers, MOTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 29703 Hoover Rd Ste A, Warren, MI 48093 Phone: 586-582-0340
Jessica Farraj, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11800 E. 12 Mile Road, Warren, MI 48093 Phone: 586-573-5123

Samantha Ortiz, - Medicare Occupational Therapist in Warren, MI