Kathryn Marie Canavan, MS OTR/L is a medicare enrolled "Occupational Therapist" provider in Athens, Pennsylvania. Her current practice location is
781a S Main St, Athens, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 423-3563.
Kathryn Marie Canavan is licensed to practice in * (Not Available) (license number ) 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 1710527304.
Healthcare Provider's Profile
| Full Name | Kathryn Marie Canavan |
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| Gender | Female |
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| Speciality | Occupational Therapist |
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| Location | 781a S Main St, Athens, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1710527304
- Provider Enumeration Date: 01/10/2020
- Last Update Date: 01/10/2020
Medicare PECOS Information:
- PECOS PAC ID: 3173938586
- Enrollment ID: I20210217001915
Medical Identifiers
Medical identifiers for Kathryn Marie Canavan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1710527304 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | (* (Not Available)) | 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. Kathryn Marie Canavan allows following entities to bill medicare on her behalf.
| Provider Name | Visiting Nurse Association Of Ridgefield, Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1497758874
PECOS PAC ID: 7416990569
Enrollment ID: O20151214000108 |
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| Provider Name | Lifelong Rehab Inc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1225665573
PECOS PAC ID: 6709209117
Enrollment ID: O20200826000193 |
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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. Kathryn Marie Canavan 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 |
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Kathryn Marie Canavan, MS OTR/L
781a S Main St,
Athens, PA 18810-1009
Ph: (570) 423-3563 | Kathryn Marie Canavan, MS OTR/L
781a S Main St,
Athens, PA 18810-1009
Ph: (570) 423-3563 |
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