Keith Paul Cavanaugh, OTR/L in Brea, CA - Medicare Occupational Therapist Provider

Keith Paul Cavanaugh, OTR/L is a medicare enrolled "Occupational Therapist" provider in Brea, California. His current practice location is 471 W Lambert Rd #106, Brea, California. You can reach out to his office (for appointments etc.) via phone at (714) 255-8877.

Keith Paul Cavanaugh is licensed to practice in California (license number 24810) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1710689005.

Contact Information

	Keith Paul Cavanaugh, OTR/L
	471 W Lambert Rd #106, Brea, CA 92821
	(714) 255-8877
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Keith Paul Cavanaugh
Gender	Male
Speciality	Occupational Therapist
Location	471 W Lambert Rd #106, Brea, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710689005
Provider Enumeration Date: 03/20/2023
Last Update Date: 03/20/2023

Medicare PECOS Information:

PECOS PAC ID: 8628442837
Enrollment ID: I20230329001167

Medical Identifiers

Medical identifiers for Keith Paul Cavanaugh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710689005	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	24810 (California)	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. Keith Paul Cavanaugh allows following entities to bill medicare on his behalf.

Provider Name	California Rehabilitation & Sports Therapy A California Physical Ther
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1386696409 PECOS PAC ID: 6709788896 Enrollment ID: O20040120001115

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. Keith Paul Cavanaugh 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
Keith Paul Cavanaugh, OTR/L 607 Belleview Ave, San Dimas, CA 91773-2145 Ph: (909) 992-2320	Keith Paul Cavanaugh, OTR/L 471 W Lambert Rd #106, Brea, CA 92821 Ph: (714) 255-8877

Reviews and Comments

Occupational Therapist in Brea, CA

Sumiko Itzel Ramirez, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3050 Saturn St Ste 102, Brea, CA 92821 Phone: 657-444-9002
Angeleena Kephart, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 W Central Ave, Suite B, Brea, CA 92821 Phone: 714-323-4216
Mrs. Grace Muraoka-goo, OTR/L, CHT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 471 W Lambert Rd, Suite 106, Brea, CA 92821 Phone: 714-255-8877 Fax: 714-255-8878
Niya Esperanza, MA Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 W Central Ave Ste B, Brea, CA 92821 Phone: 714-529-5022
Miss Jisun Kim, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 875 N Brea Blvd, Brea, CA 92821 Phone: 714-529-6842
Angela Lee, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 315 N Associated Rd, #1703, Brea, CA 92821 Phone: 909-373-7569
Kelly Wolfe, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 729 Mulberry Ave, Brea, CA 92821 Phone: 805-720-6859

Keith Paul Cavanaugh, OTR/L - Medicare Occupational Therapist in Brea, CA