Andria Davis, OTR/L - Medicare Occupational Therapist in Andover, MN

Andria Davis, OTR/L is a medicare enrolled "Occupational Therapist" provider in Andover, Minnesota. Her current practice location is 1891 Station Pkwy Nw, Andover, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 755-4275.

Andria Davis is licensed to practice in Minnesota (license number 104629) 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 1487043865.

Contact Information

Andria Davis, OTR/L
1891 Station Pkwy Nw,
Andover, MN 55304-3341
(763) 755-4275
Not Available



Healthcare Provider's Profile

Full NameAndria Davis
GenderFemale
SpecialityOccupational Therapist
Location1891 Station Pkwy Nw, Andover, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487043865
  • Provider Enumeration Date: 01/22/2015
  • Last Update Date: 01/26/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2567789522
  • Enrollment ID: I20150331002902

Medical Identifiers

Medical identifiers for Andria Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487043865NPI-NPPES
104629OtherMNMN OT LICENSE
325542OtherMNNBCOT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 104629 (Minnesota)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. Andria Davis allows following entities to bill medicare on her behalf.
Provider NameFamily Speech & Therapy Services Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1235285966
PECOS PAC ID: 8022335397
Enrollment ID: O20150325001650

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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. Andria Davis 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
Andria Davis, OTR/L
1891 Station Pkwy Nw,
Andover, MN 55304-3341

Ph: (763) 755-4275
Andria Davis, OTR/L
1891 Station Pkwy Nw,
Andover, MN 55304-3341

Ph: (763) 755-4275

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Occupational Therapist in Andover, MN

Ellen Johnson, OTR/L
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304
Phone: 763-755-4275    
Lisa Michelle Luke, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304
Phone: 763-755-4275    
Mrs. Gina Maria Frattalone Bigelbach, MAOTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304
Phone: 763-755-4275    Fax: 763-755-4261
Suzanne Berg, M.S. OTR/L
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304
Phone: 763-755-4275    Fax: 763-755-4261
Nicole Elaine Mold, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304
Phone: 763-755-4275    
Laura Bollig, M.A., OTR/L
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304
Phone: 763-755-4275    
Shelly Sontag-johnson,
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304
Phone: 763-755-4275    

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