Mikenna Marie O'donnell, OTR/L - Medicare Occupational Therapist in Baker, MT

Mikenna Marie O'donnell, OTR/L is a medicare enrolled "Occupational Therapist" provider in Baker, Montana. Her current practice location is 202 S 4th St W, Baker, Montana. You can reach out to her office (for appointments etc.) via phone at (406) 778-3331.

Mikenna Marie O'donnell is licensed to practice in Montana (license number OTP-OT-LIC-6625) 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 1033676630.

Contact Information

Mikenna Marie O'donnell, OTR/L
202 S 4th St W,
Baker, MT 59313-9156
(406) 778-3331
(406) 778-5163



Healthcare Provider's Profile

Full NameMikenna Marie O'donnell
GenderFemale
SpecialityOccupational Therapist
Location202 S 4th St W, Baker, Montana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033676630
  • Provider Enumeration Date: 03/01/2019
  • Last Update Date: 03/01/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7113386475
  • Enrollment ID: I20230705000582

Medical Identifiers

Medical identifiers for Mikenna Marie O'donnell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033676630NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist OTP-OT-LIC-6625 (Montana)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. Mikenna Marie O'donnell allows following entities to bill medicare on her behalf.
Provider NameFallon Medical Complex Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1386700763
PECOS PAC ID: 0941119499
Enrollment ID: O20040614000391

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Provider NameFallon Medical Complex Inc
Provider TypePart A Provider - Critical Access Hospital
Provider IdentifiersNPI Number: 1316965346
PECOS PAC ID: 0941119499
Enrollment ID: O20061104000600

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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. Mikenna Marie O'donnell 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
Mikenna Marie O'donnell, OTR/L
Po Box 1015,
Baker, MT 59313-1015

Ph: (406) 702-5026
Mikenna Marie O'donnell, OTR/L
202 S 4th St W,
Baker, MT 59313-9156

Ph: (406) 778-3331

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Occupational Therapist in Baker, MT


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