DR. JUSTIN ORAN MCDIVITT OTD, R/L
NPI 1053613802
Occupational Therapist in Cookeville, TN
- Individual
- Male
- Years of Experience 18
- Occupational Therapist
- Accepts Insurance
- Accepts Medicare Approved Payment
About JUSTIN MCDIVITT
This page provides the complete NPI Profile along with additional information for Justin Mcdivitt, a provider established in Cookeville, Tennessee with a medical specialization in Occupational Therapist and more than 18 years of experience. The healthcare provider is registered in the NPI registry with number 1053613802 assigned on November 2010. The practitioner's primary taxonomy code is 225X00000X with license number 4071 (TN). The provider is registered as an individual and his NPI record was last updated 16 years ago.
- NPI
- 1053613802 Verify this NPI
- Provider Name
- DR. JUSTIN ORAN MCDIVITT OTD, R/L
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 815 S WALNUT AVE COOKEVILLE, TN 38501
- Location Phone
- (931) 646-7216
- Mailing Address
- 952 NOTTINGHAM DR COOKEVILLE, TN 38506
- Medical School Name
- OTHER
- Graduation Year
- 2009
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-30-2010
- Last Update Date
- 11-30-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Occupational Therapist
- Taxonomy Code
- 225X00000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 4071
- License State
- TN
- Taxonomy Description
- An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health� - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health� - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Justin Mcdivitt is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 42676371
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20230511002673
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
COOKEVILLE, TN 38501
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053613802, enumerated as an "individual" on November 30, 2010.
The provider is located at 815 S WALNUT AVE COOKEVILLE, TN 38501 and the phone number is (931) 646-7216.
Occupational Therapist with taxonomy code 225X00000X.
The provider might be accepting Accepts: BlueCross BlueShield of Tennessee. Please consult your insurance carrier or call the provider to verify.
