Prairie Independence Pllc - Medicare Occupational Therapist in Claremont, SD

Prairie Independence Pllc is a medicare enrolled "Occupational Therapist" provider in Claremont, South Dakota. Their current practice location is 12057 411th Ave, Claremont, South Dakota. You can reach out to their office (for appointments etc.) via phone at (605) 290-1163.

Prairie Independence Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Prairie Independence Pllc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1306597232.

Contact Information

Prairie Independence Pllc
12057 411th Ave,
Claremont, SD 57432-7302
(605) 290-1163
Not Available



Healthcare Provider's Profile

Full NamePrairie Independence Pllc
TypeFacility
SpecialityOccupational Therapist
Location12057 411th Ave, Claremont, South Dakota
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306597232
  • Provider Enumeration Date: 01/12/2022
  • Last Update Date: 01/12/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9133596018
  • Enrollment ID: O20221107000331

Medical Identifiers

Medical identifiers for Prairie Independence Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306597232NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Prairie Independence Pllc acts as a billing entity for following providers:
Provider NameJennifer Gustafson
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1578717112
PECOS PAC ID: 3173832870
Enrollment ID: I20221108002174

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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. Prairie Independence Pllc 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
Prairie Independence Pllc
12057 411th Ave,
Claremont, SD 57432-7302

Ph: (605) 290-1163
Prairie Independence Pllc
12057 411th Ave,
Claremont, SD 57432-7302

Ph: (605) 290-1163

News Archive

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Occupational Therapist in Claremont, SD

Jennifer Gustafson, OT
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 12057 411th Ave, Claremont, SD 57432
Phone: 605-290-1163    

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