Cynthia Marie Everhart, is a medicare enrolled "Occupational Therapist" provider in Clarendon Hills, Illinois. His current practice location is
215 55th St, Clarendon Hills, Illinois. You can reach out to his office (for appointments etc.) via phone at
(630) 789-1135.
Cynthia Marie Everhart is licensed to practice in Illinois (license number 056.002136) 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 1194338830.
Healthcare Provider's Profile
Full Name | Cynthia Marie Everhart |
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Gender | Male |
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Speciality | Occupational Therapist |
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Location | 215 55th St, Clarendon Hills, 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: 1194338830
- Provider Enumeration Date: 08/24/2020
- Last Update Date: 08/24/2020
Medicare PECOS Information:
- PECOS PAC ID: 6103365374
- Enrollment ID: I20240902000155
Medical Identifiers
Medical identifiers for Cynthia Marie Everhart such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194338830 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 056.002136 (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. Cynthia Marie Everhart allows following entities to bill medicare on his behalf.
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1689141376 PECOS PAC ID: 2163339722 Enrollment ID: O20200427002510 |
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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. Cynthia Marie Everhart 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 |
Cynthia Marie Everhart, 21w258 Audubon Rd, Lombard, IL 60148-5205 Ph: () - | Cynthia Marie Everhart, 215 55th St, Clarendon Hills, IL 60514-1578 Ph: (630) 789-1135 |
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