Sue Ellen Wilson, OTR/L - Medicare Occupational Therapist in Annapolis, MD

Sue Ellen Wilson, OTR/L is a medicare enrolled "Occupational Therapist" provider in Annapolis, Maryland. Her current practice location is 2644 Riva Rd, Annapolis, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 222-5000.

Sue Ellen Wilson is licensed to practice in Maryland (license number 01740) 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 1164993986.

Contact Information

Sue Ellen Wilson, OTR/L
2644 Riva Rd,
Annapolis, MD 21401-7427
(410) 222-5000
Not Available



Healthcare Provider's Profile

Full NameSue Ellen Wilson
GenderFemale
SpecialityOccupational Therapist
Location2644 Riva Rd, Annapolis, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164993986
  • Provider Enumeration Date: 12/06/2018
  • Last Update Date: 08/29/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6305204520
  • Enrollment ID: I20230621000953

Medical Identifiers

Medical identifiers for Sue Ellen Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164993986NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 01740 (Maryland)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. Sue Ellen Wilson allows following entities to bill medicare on her behalf.
Provider NameHeritage Harbour Physical Therapy Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1235643305
PECOS PAC ID: 1557620671
Enrollment ID: O20180118001677

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› Verified 1 days ago

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. Sue Ellen Wilson 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
Sue Ellen Wilson, OTR/L
2644 Riva Rd,
Annapolis, MD 21401-7427

Ph: (410) 222-5000
Sue Ellen Wilson, OTR/L
2644 Riva Rd,
Annapolis, MD 21401-7427

Ph: (410) 222-5000

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Occupational Therapist in Annapolis, MD

Mrs. Lindsay Arna Oconnor, OTR/L
Occupational Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 7101 Bay Front Dr, Annapolis, MD 21403
Phone: 443-837-0026    
Ann Ruppel, OTR
Occupational Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 2003 Medical Pkwy, Annapolis, MD 21401
Phone: 410-573-2530    
Mrs. Cimmon Elizabeth Burris, OT/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2644 Riva Rd, Annapolis, MD 21401
Phone: 410-222-5000    
Physiotherapy Associates, Inc.
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 129 Lubrano Dr Ste 301, Annapolis, MD 21401
Phone: 410-224-2626    
Kristin Abboud, OT
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2000 Medical Pkwy, Ste 101, Annapolis, MD 21401
Phone: 410-295-8900    Fax: 410-280-4701
Robin Joanne Mullins,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2644 Riva Rd, Annapolis, MD 21401
Phone: 410-222-5000    
Emiko Tanabe, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1410 Forest Dr Ste 29, Annapolis, MD 21403
Phone: 410-280-8774    

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