Clay Dargert, OT is a medicare enrolled "Occupational Therapist" provider in Manteno, Illinois. His current practice location is
1 Veterans Dr, Manteno, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 468-6581.
Clay Dargert is licensed to practice in Illinois (license number 056.014033) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1649862947.
Healthcare Provider's Profile
| Full Name | Clay Dargert |
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| Gender | Male |
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| Speciality | Occupational Therapist |
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| Location | 1 Veterans Dr, Manteno, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1649862947
- Provider Enumeration Date: 02/08/2021
- Last Update Date: 02/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 1658815667
- Enrollment ID: I20240702000522
Medical Identifiers
Medical identifiers for Clay Dargert such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649862947 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 056.014033 (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. Clay Dargert allows following entities to bill medicare on his behalf.
| Provider Name | Comprehensive Therapeutics Ltd |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1699094102
PECOS PAC ID: 8921230137
Enrollment ID: O20140422000663 |
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| Provider Name | Empowerme Rehabilitation Illinois Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1679098263
PECOS PAC ID: 2365718277
Enrollment ID: O20171020001353 |
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| Provider Name | Empowerme Wellness Kansas City Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1174118103
PECOS PAC ID: 9830504836
Enrollment ID: O20210317001954 |
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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. Clay Dargert 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 |
|---|
Clay Dargert, OT
11025 W Dralle Rd,
Monee, IL 60449-9429
Ph: (815) 351-4858 | Clay Dargert, OT
1 Veterans Dr,
Manteno, IL 60950-9466
Ph: (815) 468-6581 |
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