Premala T Menezes, OT in South Sioux City, NE - Medicare Occupational Therapist Provider

Premala T Menezes, OT is a medicare enrolled "Occupational Therapist" provider in South Sioux City, Nebraska. Her current practice location is 3410 Futures Dr, South Sioux City, Nebraska. You can reach out to her office (for appointments etc.) via phone at (402) 412-4271.

Premala T Menezes is licensed to practice in Nebraska (license number 358) 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 1306872403.

Contact Information

	Premala T Menezes, OT
	3410 Futures Dr, South Sioux City, NE 68776-3917
	(402) 412-4271
	(402) 412-4296

Map and Direction

Healthcare Provider's Profile

Full Name	Premala T Menezes
Gender	Female
Speciality	Occupational Therapist
Location	3410 Futures Dr, South Sioux City, Nebraska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306872403
Provider Enumeration Date: 06/23/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2567470404
Enrollment ID: I20131030001835

Medical Identifiers

Medical identifiers for Premala T Menezes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306872403	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	158 (Iowa)	Secondary
225X00000X	Occupational Therapist	231 (South Dakota)	Secondary
225X00000X	Occupational Therapist	358 (Nebraska)	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. Premala T Menezes allows following entities to bill medicare on her behalf.

Provider Name	Legacy Healthcare Services Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1336535988 PECOS PAC ID: 2163339722 Enrollment ID: O20150805009289

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. Premala T Menezes 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
Premala T Menezes, OT 3410 Futures Dr, South Sioux City, NE 68776-3917 Ph: (402) 412-4271	Premala T Menezes, OT 3410 Futures Dr, South Sioux City, NE 68776-3917 Ph: (402) 412-4271

Reviews and Comments

Occupational Therapist in South Sioux City, NE

Lynne Diane Olsen, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3501 Dakota Ave, South Sioux City, NE 68776 Phone: 402-494-3440
Matthew T Cappetta, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3501 Dakota Ave, South Sioux City, NE 68776 Phone: 140-249-5344
Jane Arnold, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3410 Futures Drive, South Sioux City, NE 68776 Phone: 402-412-4271 Fax: 402-412-4296
Mrs. Sharon Ibu Nooney, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3200 G St, South Sioux City, NE 68776 Phone: 402-494-3043
Jay E Collier, PT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3410 Futures Dr, South Sioux City, NE 68776 Phone: 402-412-4271 Fax: 402-412-4296
Laura Elizabeth Winter, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3501 Dakota Ave, South Sioux City, NE 68776 Phone: 402-494-3440

Premala T Menezes, OT - Medicare Occupational Therapist in South Sioux City, NE