Carly Weygandt, OTR/L in Crown Point, IN - Medicare Occupational Therapist Provider

Carly Weygandt, OTR/L is a medicare enrolled "Occupational Therapist" provider in Crown Point, Indiana. Her current practice location is 11496 Broadway, Crown Point, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 213-2222.

Carly Weygandt is licensed to practice in Indiana (license number 31007674A) 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 1629725957.

Contact Information

	Carly Weygandt, OTR/L
	11496 Broadway, Crown Point, IN 46307-7106
	(219) 213-2222
	(847) 786-2156

Map and Direction

Healthcare Provider's Profile

Full Name	Carly Weygandt
Gender	Female
Speciality	Occupational Therapist
Location	11496 Broadway, Crown Point, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629725957
Provider Enumeration Date: 03/07/2022
Last Update Date: 03/07/2022

Medicare PECOS Information:

PECOS PAC ID: 3375923840
Enrollment ID: I20220630002548

Medical Identifiers

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

Identifier	Type	State	Issuer
1629725957	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	056.014784 (Illinois)	Secondary
225X00000X	Occupational Therapist	31007674A (Indiana)	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 Weygandt allows following entities to bill medicare on her behalf.

Provider Name	Ivyrehab Physical Therapy Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1750764494 PECOS PAC ID: 7012997638 Enrollment ID: O20151211000959

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 Weygandt 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 Weygandt, OTR/L Po Box 416501, Boston, MA 02241-6501 Ph: (194) 294-4050	Carly Weygandt, OTR/L 11496 Broadway, Crown Point, IN 46307-7106 Ph: (219) 213-2222

Reviews and Comments

Occupational Therapist in Crown Point, IN

Katherine Louise Fiaoni, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1200 Luther Dr, Crown Point, IN 46307 Phone: 708-767-9143
Home Mobility Consulting Occupational Therapist Medicare: Medicare Enrolled Practice Location: 13318 Chase St, Crown Point, IN 46307 Phone: 219-713-2198
Kirsten Bovee, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12331 White Oak Dr, Crown Point, IN 46307 Phone: 219-781-0569
Teri Deyoung, OTR, ECHM Occupational Therapist Medicare: Medicare Enrolled Practice Location: 13318 Chase St, Crown Point, IN 46307 Phone: 219-713-2198
Mrs. Maria Elvira Dava, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3824 Kingsway Dr, Crown Point, IN 46307 Phone: 630-362-3854 Fax: 219-397-1249
Ms. Pearl Marie Hernandez, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10757 Randolph St, Crown Point, IN 46307 Phone: 219-661-8161 Fax: 219-661-9162
Antoinette Weltmeyer, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5241 Fountain Dr, Crown Point, IN 46307 Phone: 219-757-5241 Fax: 219-757-5242

Carly Weygandt, OTR/L - Medicare Occupational Therapist in Crown Point, IN