Carly Evelyn, in Southbury, CT - Medicare Occupational Therapist Provider

Carly Evelyn, is a medicare enrolled "Occupational Therapist" provider in Southbury, Connecticut. Her current practice location is 655 Main St S, Southbury, Connecticut. You can reach out to her office (for appointments etc.) via phone at (877) 407-3422.

Carly Evelyn is licensed to practice in Connecticut (license number 5670) 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 1316727159.

Contact Information

	Carly Evelyn,
	655 Main St S, Southbury, CT 06488-4220
	(877) 407-3422
	(877) 407-4329

Map and Direction

Healthcare Provider's Profile

Full Name	Carly Evelyn
Gender	Female
Speciality	Occupational Therapist
Location	655 Main St S, Southbury, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316727159
Provider Enumeration Date: 09/29/2023
Last Update Date: 09/29/2023

Medicare PECOS Information:

PECOS PAC ID: 4587019054
Enrollment ID: I20231018003362

Medical Identifiers

Medical identifiers for Carly Evelyn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316727159	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	5670 (Connecticut)	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. Carly Evelyn allows following entities to bill medicare on her behalf.

Provider Name	Fox Rehab Ot Ct Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1912251992 PECOS PAC ID: 1658683123 Enrollment ID: O20150713000619

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. Carly Evelyn 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
Carly Evelyn, 7 Carnegie Plz, Cherry Hill, NJ 08003-1000 Ph: (877) 407-3422	Carly Evelyn, 655 Main St S, Southbury, CT 06488-4220 Ph: (877) 407-3422

Reviews and Comments

Occupational Therapist in Southbury, CT

Claire Wolfer, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 655 Main St S, Southbury, CT 06488 Phone: 877-407-3422 Fax: 877-407-4329
Veronica Hickey, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 611 E Hill Rd, Southbury, CT 06488 Phone: 203-745-2295
Mrs. Christy Marie Dutko, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Reservoir Office Park Ste 104, 1449 Old Waterbury Road, Southbury, CT 06488 Phone: 203-262-9909 Fax: 203-262-9911
Marilyn Joseph, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 655 Main St S, Southbury, CT 06488 Phone: 877-407-3422
Kirsten Lau, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 655 Main St S, Southbury, CT 06488 Phone: 877-407-3422 Fax: 877-407-4329
Claire Duffy, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 655 Main St S, Southbury, CT 06488 Phone: 877-407-3422 Fax: 877-407-4329
Amanda Verrino, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 655 Main Sreet South, Southbury, CT 06488 Phone: 877-407-3422 Fax: 877-407-4329

Carly Evelyn, - Medicare Occupational Therapist in Southbury, CT