Kaelyn Broell, OTD is a medicare enrolled "Occupational Therapist" provider in Mount Washington, Kentucky. Her current practice location is
520 Woodlake Dr, Mount Washington, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(502) 538-3172.
Kaelyn Broell is licensed to practice in Kentucky (license number 277298) 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 1467199331.
Healthcare Provider's Profile
Full Name | Kaelyn Broell |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 520 Woodlake Dr, Mount Washington, Kentucky |
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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: 1467199331
- Provider Enumeration Date: 05/12/2022
- Last Update Date: 05/12/2022
Medicare PECOS Information:
- PECOS PAC ID: 8628456431
- Enrollment ID: I20220607003241
Medical Identifiers
Medical identifiers for Kaelyn Broell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467199331 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 277298 (Kentucky) | 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. Kaelyn Broell allows following entities to bill medicare on her behalf.
Provider Name | Healthpro Heritage Rehab & Fitness Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1770054686 PECOS PAC ID: 6507832573 Enrollment ID: O20190211002009 |
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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. Kaelyn Broell 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 |
Kaelyn Broell, OTD 131 N Howard St, Bardstown, KY 40004-8115 Ph: () - | Kaelyn Broell, OTD 520 Woodlake Dr, Mount Washington, KY 40047-5123 Ph: (502) 538-3172 |
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