Karissa Ann Pavelka Simon, MS, OTR/L in Manlius, NY - Student in an Organized Health Care Education/Training Program

Karissa Ann Pavelka Simon, MS, OTR/L - in Manlius, NY

Karissa Ann Pavelka Simon, MS, OTR/L is a Student In An Organized Health Care Education/training Program based in Manlius, New York. Karissa Ann Pavelka Simon is licensed to practice in * (Not Available) (license number ) and her current practice location is 8092 Verbeck Dr, Manlius, New York. She can be reached at her office (for appointments etc.) via phone at (443) 752-9952.

NPI number for Karissa Ann Pavelka Simon is 1184980310 and her current mailing address is 8092 Verbeck Dr, Manlius, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184980310.

Contact Information

	Karissa Ann Pavelka Simon, MS, OTR/L
	8092 Verbeck Dr, Manlius, NY 13104-9312
	(443) 752-9952
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Karissa Ann Pavelka Simon
Gender	Female
Speciality	Student In An Organized Health Care Education/training Program
Location	8092 Verbeck Dr, Manlius, New York
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1184980310
Provider Enumeration Date: 04/02/2012
Last Update Date: 10/23/2022

Medical Identifiers

Medical identifiers for Karissa Ann Pavelka Simon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184980310	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	020867 (New York)	Secondary
225X00000X	Occupational Therapist	07208 (Maryland)	Secondary
225X00000X	Occupational Therapist	46TR00816700 (New Jersey)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Primary

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. Karissa Ann Pavelka Simon is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Karissa Ann Pavelka Simon, MS, OTR/L 8092 Verbeck Dr, Manlius, NY 13104-9312 Ph: (443) 752-9952	Karissa Ann Pavelka Simon, MS, OTR/L 8092 Verbeck Dr, Manlius, NY 13104-9312 Ph: (443) 752-9952