Cheyenne Renee Durham, OT is a medicare enrolled "Occupational Therapist" provider in Edwardsville, Illinois. Her current practice location is
1047 Century Dr, Edwardsville, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 307-3434.
Cheyenne Renee Durham is licensed to practice in Illinois (license number 056015934) 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 1316412000.
Healthcare Provider's Profile
Full Name | Cheyenne Renee Durham |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 1047 Century Dr, Edwardsville, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1316412000
- Provider Enumeration Date: 10/09/2018
- Last Update Date: 03/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 6406293380
- Enrollment ID: I20240327002570
Medical Identifiers
Medical identifiers for Cheyenne Renee Durham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316412000 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
225X00000X | Occupational Therapist | 056015934 (Illinois) | 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. Cheyenne Renee Durham allows following entities to bill medicare on her behalf.
Entity Name | Athletico Ltd |
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Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Entity Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20120612000342 |
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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. Cheyenne Renee Durham 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 Address | Practice Location Address |
Cheyenne Renee Durham, OT 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-1980 | Cheyenne Renee Durham, OT 1047 Century Dr, Edwardsville, IL 62025-3772 Ph: (618) 307-3434 |
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