Kathleen Sudol, MS OTR/L is a medicare enrolled "Occupational Therapist" provider in Dupont, Pennsylvania. She graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Occupational Therapy. She is a member of the group practice Ignite Rehab Corp and her current practice location is
514 Wyoming Ave, Dupont, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 479-5545.
Kathleen Sudol is licensed to practice in New Jersey (license number 46TR00744600) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1952978470.
Healthcare Provider's Profile
Full Name | Kathleen Sudol |
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Gender | Female |
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Speciality | Occupational Therapy |
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Experience | 10 Years |
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Location | 514 Wyoming Ave, Dupont, Pennsylvania |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kathleen Sudol graduated from medical school in 2014
NPI Data:
- NPI Number: 1952978470
- Provider Enumeration Date: 06/04/2021
- Last Update Date: 06/04/2021
Medicare PECOS Information:
- PECOS PAC ID: 3779985080
- Enrollment ID: I20210709000083
Medical Identifiers
Medical identifiers for Kathleen Sudol such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952978470 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 46TR00744600 (New Jersey) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Ignite Rehab Corp | 7911387295 | 22 |
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. Kathleen Sudol allows following entities to bill medicare on her behalf.
Provider Name | Balanced Body Rehabilitation Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1740690627 PECOS PAC ID: 0749401016 Enrollment ID: O20141030000749 |
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Provider Name | Ignite Rehab Corp |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1902542574 PECOS PAC ID: 7911387295 Enrollment ID: O20220705000011 |
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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. Kathleen Sudol 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 |
Kathleen Sudol, MS OTR/L 514 Wyoming Ave, Dupont, PA 18641-2057 Ph: (570) 479-5545 | Kathleen Sudol, MS OTR/L 514 Wyoming Ave, Dupont, PA 18641-2057 Ph: (570) 479-5545 |
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