Dr Kimberlee Lyn Kelly, OTR/L in San Tan Valley, AZ - Medicare Occupational Therapist Provider

Dr Kimberlee Lyn Kelly, OTR/L is a medicare enrolled "Occupational Therapist" provider in San Tan Valley, Arizona. Her current practice location is 33860 N Sandstone Dr, San Tan Valley, Arizona. You can reach out to her office (for appointments etc.) via phone at (202) 607-9337.

Dr Kimberlee Lyn Kelly is licensed to practice in Arizona (license number OTH-005731) 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 1659575033.

Contact Information

	Dr Kimberlee Lyn Kelly, OTR/L
	33860 N Sandstone Dr, San Tan Valley, AZ 85143-3534
	(202) 607-9337
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kimberlee Lyn Kelly
Gender	Female
Speciality	Occupational Therapist
Location	33860 N Sandstone Dr, San Tan Valley, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659575033
Provider Enumeration Date: 06/12/2007
Last Update Date: 03/05/2024

Medicare PECOS Information:

PECOS PAC ID: 1850732983
Enrollment ID: I20240507003486

Medical Identifiers

Medical identifiers for Dr Kimberlee Lyn Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659575033	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OTH-005731 (Arizona)	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 Kimberlee Lyn Kelly allows following entities to bill medicare on her behalf.

Provider Name	Powerback Rehabilitation Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1568079796 PECOS PAC ID: 2365359932 Enrollment ID: O20120227000163

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 Kimberlee Lyn Kelly 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 Kimberlee Lyn Kelly, OTR/L 33860 N Sandstone Dr, San Tan Valley, AZ 85143-3534 Ph: (202) 607-9337	Dr Kimberlee Lyn Kelly, OTR/L 33860 N Sandstone Dr, San Tan Valley, AZ 85143-3534 Ph: (202) 607-9337

Reviews and Comments

Occupational Therapist in San Tan Valley, AZ

Kerry Taylor, OTR-L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 29755 N Varnum Rd, San Tan Valley, AZ 85143 Phone: 480-239-5741 Fax: 480-635-0222
Neelambari G Joshi, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 41316 N Salix Dr, San Tan Valley, AZ 85140 Phone: 480-756-3922
Kathryn Bauer, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 677 E Kelsi Ave, San Tan Valley, AZ 85140 Phone: 406-600-4747
Richard Suezaki, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 36397 N Gantzel Rd Ste 102, San Tan Valley, AZ 85140 Phone: 480-567-2987
Max Potential Therapy Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4297 E Del Rio Dr, San Tan Valley, AZ 85140 Phone: 480-987-6249
Nicole Marie Haarma, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 39315 N Cortona Dr, San Tan Valley, AZ 85140 Phone: 602-214-6263

Dr Kimberlee Lyn Kelly, OTR/L - Medicare Occupational Therapist in San Tan Valley, AZ