Kayla Kelley, OTR is a medicare enrolled "Occupational Therapist - Pediatrics" provider in Nolanville, Texas. Her current practice location is
202 N Main St, Nolanville, Texas. You can reach out to her office (for appointments etc.) via phone at
(254) 393-0081.
Kayla Kelley is licensed to practice in Texas (license number 114857) 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 1477815470.
Healthcare Provider's Profile
| Full Name | Kayla Kelley |
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| Gender | Female |
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| Speciality | Occupational Therapist - Pediatrics |
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| Location | 202 N Main St, Nolanville, Texas |
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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: 1477815470
- Provider Enumeration Date: 06/14/2012
- Last Update Date: 05/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 5092138263
- Enrollment ID: I20200706003057
Medical Identifiers
Medical identifiers for Kayla Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1477815470 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225XP0200X | Occupational Therapist - Pediatrics | 114857 (Texas) | 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. Kayla Kelley allows following entities to bill medicare on her behalf.
| Provider Name | Cen-tex 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: 1578811154
PECOS PAC ID: 7517110125
Enrollment ID: O20130110000246 |
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| Provider Name | Legacy Beach Therapies 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: 1417664541
PECOS PAC ID: 0941666770
Enrollment ID: O20230519001480 |
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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. Kayla Kelley 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 |
|---|
Kayla Kelley, OTR
202 N Main St,
Nolanville, TX 76559-4349
Ph: (254) 393-0081 | Kayla Kelley, OTR
202 N Main St,
Nolanville, TX 76559-4349
Ph: (254) 393-0081 |
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