Kathleen Tisdale, OTR/L in Independence, MO - Medicare Occupational Therapist Provider

Kathleen Tisdale, OTR/L is a medicare enrolled "Occupational Therapist" provider in Independence, Missouri. Her current practice location is 810 E Walnut St, Independence, Missouri. You can reach out to her office (for appointments etc.) via phone at (816) 461-9600.

Kathleen Tisdale is licensed to practice in Missouri (license number 2013023645) 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 1902294135.

Contact Information

	Kathleen Tisdale, OTR/L
	810 E Walnut St, Independence, MO 64050-4025
	(816) 461-9600
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kathleen Tisdale
Gender	Female
Speciality	Occupational Therapist
Location	810 E Walnut St, Independence, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902294135
Provider Enumeration Date: 12/22/2014
Last Update Date: 12/22/2014

Medicare PECOS Information:

PECOS PAC ID: 0840731279
Enrollment ID: I20240925001272

Medical Identifiers

Medical identifiers for Kathleen Tisdale such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902294135	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	2013023645 (Missouri)	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. Kathleen Tisdale allows following entities to bill medicare on her behalf.

Provider Name	Healthpro Heritage Rehab & Fitness Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1871072462 PECOS PAC ID: 6507832573 Enrollment ID: O20240909000166

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 Tisdale 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 Tisdale, OTR/L 810 E Walnut St, Independence, MO 64050-4025 Ph: (816) 461-9600	Kathleen Tisdale, OTR/L 810 E Walnut St, Independence, MO 64050-4025 Ph: (816) 461-9600

Reviews and Comments

Occupational Therapist in Independence, MO

Jean Ann Wetherilt, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10601 E 35th Ter S, Independence, MO 64052 Phone: 816-358-1955
Linda Kay Hickey, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 10601 E 35th Ter S, Independence, MO 64052 Phone: 816-358-1955 Fax: 816-358-1955
Amanda S Johnson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 218 N Pleasant St, Independence School District, Independence, MO 64050 Phone: 816-521-2700 Fax: 816-521-2999
Chase Moder, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3980 South Jackson Dr, Independence, MO 64057 Phone: 816-795-1433
Mr. Brantley Vincent Niendick, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2301 S M 291 Hwy, Independence, MO 64057 Phone: 816-373-9328 Fax: 816-373-9207
Ruth Reid, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 14820 E 42nd St S, Independence, MO 64055 Phone: 816-517-9021
Krystle Seigler, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1800 S Swope Dr, Independence, MO 64057 Phone: 816-257-2566

Kathleen Tisdale, OTR/L - Medicare Occupational Therapist in Independence, MO