Holly Maurine St John, MOTR/L - Medicare Occupational Therapist in Blackfoot, ID

Holly Maurine St John, MOTR/L is a medicare enrolled "Occupational Therapist" provider in Blackfoot, Idaho. Her current practice location is 7 N 600 W, Blackfoot, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 709-1200.

Holly Maurine St John is licensed to practice in Idaho (license number OT-995) 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 1508147562.

Contact Information

Holly Maurine St John, MOTR/L
7 N 600 W,
Blackfoot, ID 83221-5533
(208) 709-1200
Not Available



Healthcare Provider's Profile

Full NameHolly Maurine St John
GenderFemale
SpecialityOccupational Therapist
Location7 N 600 W, Blackfoot, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508147562
  • Provider Enumeration Date: 09/05/2011
  • Last Update Date: 09/05/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 8628219060
  • Enrollment ID: I20130726000262

Medical Identifiers

Medical identifiers for Holly Maurine St John such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508147562NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist OT-995 (Idaho)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. Holly Maurine St John allows following entities to bill medicare on her behalf.
Provider NameCamp Hippo Pediatric Therapy Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1609032267
PECOS PAC ID: 3678610706
Enrollment ID: O20091022000349

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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. Holly Maurine St John 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
Holly Maurine St John, MOTR/L
58 E Rich Ln,
Blackfoot, ID 83221-5804

Ph: (208) 709-1200
Holly Maurine St John, MOTR/L
7 N 600 W,
Blackfoot, ID 83221-5533

Ph: (208) 709-1200

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Occupational Therapist in Blackfoot, ID

Morgen Tayler Stott, MOT
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 7 N 600 W, Blackfoot, ID 83221
Phone: 208-782-2267    
Eric Waters,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4 N 740 W, Blackfoot, ID 83221
Phone: 208-684-4077    
Mrs. Betty Christina Jaques, OTRL
Occupational Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 7 N 600 W, Blackfoot, ID 83221
Phone: 208-684-9812    
Austin Wadsworth,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 881 James St, Blackfoot, ID 83221
Phone: 435-770-5499    

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