Edwin Dave Ricketts, OTR/L - Medicare Occupational Therapist in Riverside, CA

Edwin Dave Ricketts, OTR/L is a medicare enrolled "Occupational Therapist" provider in Riverside, California. He graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Occupational Therapy. He is a member of the group practice West Coast Spine Restoration Center Inc and his current practice location is 6177 River Crest Dr, #a, Riverside, California. You can reach out to his office (for appointments etc.) via phone at (951) 653-4480.

Edwin Dave Ricketts is licensed to practice in California (license number OT 7710) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1023435708.

Contact Information

Edwin Dave Ricketts, OTR/L
6177 River Crest Dr, #a,
Riverside, CA 92507-0728
(951) 653-4480
(951) 653-5051



Healthcare Provider's Profile

Full NameEdwin Dave Ricketts
GenderMale
SpecialityOccupational Therapy
Experience31 Years
Location6177 River Crest Dr, Riverside, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Edwin Dave Ricketts graduated from medical school in 1993
  NPI Data:
  • NPI Number: 1023435708
  • Provider Enumeration Date: 03/19/2014
  • Last Update Date: 03/19/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 2163646431
  • Enrollment ID: I20140609000272

Medical Identifiers

Medical identifiers for Edwin Dave Ricketts such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023435708NPI-NPPES
OT7710OtherCACALIFORNIA BOARD OF OCCUPATIONAL THERAPY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist OT 7710 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
West Coast Spine Restoration Center Inc721482464818

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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. Edwin Dave Ricketts allows following entities to bill medicare on his behalf.
Provider NameWest Coast Spine Restoration Center Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1992887616
PECOS PAC ID: 7214824648
Enrollment ID: O20040301001265

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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. Edwin Dave Ricketts 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
Edwin Dave Ricketts, OTR/L
14033 Montecito Dr,
Victorville, CA 92395-4718

Ph: () -
Edwin Dave Ricketts, OTR/L
6177 River Crest Dr, #a,
Riverside, CA 92507-0728

Ph: (951) 653-4480

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Occupational Therapist in Riverside, CA

Ana-karina Anderson Nguyen, OTR/L
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 4334 Latham St, Riverside, CA 92501
Phone: 909-519-8912    
Julia P Kosobucki, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3674 Pacific Ave, Riverside, CA 92509
Phone: 760-729-5433    
Karen E Diaz, OTR/L
Occupational Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 6177 River Crest Dr Ste A, Riverside, CA 92507
Phone: 951-653-4480    Fax: 951-653-5051
Davorka Martin, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 9020 Garfield St, Riverside, CA 92503
Phone: 951-688-8200    Fax: 951-688-0386
Blake Christensen, OT
Occupational Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 4234 Riverwalk Pkwy Ste 200, Riverside, CA 92505
Phone: 951-977-2500    Fax: 909-557-1732
Britt E Wallstrom, OT
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 6177 River Crest Dr Ste A, Riverside, CA 92507
Phone: 951-653-4480    Fax: 951-653-5051

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