Dr Dalton Krencik, OTD, OTR/L in Fort Pierce, FL - Medicare Occupational Therapist Provider

Dr Dalton Krencik, OTD, OTR/L is a medicare enrolled "Occupational Therapist" provider in Fort Pierce, Florida. His current practice location is 4715 Kirby Loop Rd, Fort Pierce, Florida. You can reach out to his office (for appointments etc.) via phone at (772) 577-6964.

Dr Dalton Krencik is licensed to practice in Florida (license number OT22788) 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 1083369722.

Contact Information

	Dr Dalton Krencik, OTD, OTR/L
	4715 Kirby Loop Rd, Fort Pierce, FL 34981-5345
	(772) 577-6964
	(772) 461-9954

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Dalton Krencik
Gender	Male
Speciality	Occupational Therapist
Location	4715 Kirby Loop Rd, Fort Pierce, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083369722
Provider Enumeration Date: 02/21/2022
Last Update Date: 02/21/2022

Medicare PECOS Information:

PECOS PAC ID: 1759753007
Enrollment ID: I20230214002200

Medical Identifiers

Medical identifiers for Dr Dalton Krencik such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083369722	NPI	-	NPPES
OT22788	Other	FL	FLORIDA DEPARTMENT OF HEALTH STATE LICENSE NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT22788 (Florida)	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. Dr Dalton Krencik allows following entities to bill medicare on his behalf.

Provider Name	Personal Care Physical Therapy
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1518566835 PECOS PAC ID: 7315354404 Enrollment ID: O20210408001156

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. Dr Dalton Krencik 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
Dr Dalton Krencik, OTD, OTR/L 1702 Mariner Bay Blvd, Fort Pierce, FL 34949-3613 Ph: (772) 577-6964	Dr Dalton Krencik, OTD, OTR/L 4715 Kirby Loop Rd, Fort Pierce, FL 34981-5345 Ph: (772) 577-6964

Reviews and Comments

Occupational Therapist in Fort Pierce, FL

Evan Jones, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1936 Wyoming Ave, Fort Pierce, FL 34982 Phone: 772-979-4317
Amber Diane Hopkins, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2744 S Brocksmith Rd, Fort Pierce, FL 34945 Phone: 772-460-1313 Fax: 772-460-1313
Miranda Brooks, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 800 Virginia Ave Ste 14, Fort Pierce, FL 34982 Phone: 772-464-3303
Leo Gutierrez, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5895 Whipoorwill Ln, Fort Pierce, FL 34987 Phone: 772-828-9106
A Plus Speech Therapy Professionals, Inc. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1801 S 23rd St Ste 2, Fort Pierce, FL 34950 Phone: 772-464-3303 Fax: 772-462-6635
Erin Kelley, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 611 S 13th St, Fort Pierce, FL 34950 Phone: 772-464-5262

Dr Dalton Krencik, OTD, OTR/L - Medicare Occupational Therapist in Fort Pierce, FL