Kelley Pacillo, OTR/L in Arab, AL - Medicare Occupational Therapist Provider

Kelley Pacillo, OTR/L is a medicare enrolled "Occupational Therapist" provider in Arab, Alabama. Her current practice location is 1412 N Brindlee Mountain Pkwy, Arab, Alabama. You can reach out to her office (for appointments etc.) via phone at (256) 931-2013.

Kelley Pacillo is licensed to practice in Alabama (license number 3961) 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 1013309780.

Contact Information

	Kelley Pacillo, OTR/L
	1412 N Brindlee Mountain Pkwy, Arab, AL 35016-5431
	(256) 931-2013
	(256) 931-2014

Map and Direction

Healthcare Provider's Profile

Full Name	Kelley Pacillo
Gender	Female
Speciality	Occupational Therapist
Location	1412 N Brindlee Mountain Pkwy, Arab, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013309780
Provider Enumeration Date: 03/04/2015
Last Update Date: 05/07/2015

Medicare PECOS Information:

PECOS PAC ID: 6103138375
Enrollment ID: I20150630002115

Medical Identifiers

Medical identifiers for Kelley Pacillo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013309780	NPI	-	NPPES
1003819608	Other	AL	GROUP NPI
529917620	Medicaid	AL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	3961 (Alabama)	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. Kelley Pacillo allows following entities to bill medicare on her behalf.

Provider Name	Magnolia Neuro Rehab, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1194441147 PECOS PAC ID: 2769855386 Enrollment ID: O20230302000297

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. Kelley Pacillo 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
Kelley Pacillo, OTR/L 251 Johnston St Se Ste 300, Decatur, AL 35601-2515 Ph: (256) 340-9708	Kelley Pacillo, OTR/L 1412 N Brindlee Mountain Pkwy, Arab, AL 35016-5431 Ph: (256) 931-2013

Reviews and Comments

Occupational Therapist in Arab, AL

Ginger Williams Cavender, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 235 3rd St Se, Arab, AL 35016 Phone: 256-586-3111
Jennifer Williams King, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 235 3rd St Se, Arab, AL 35016 Phone: 256-586-3111
Sarah Mooney, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1510 N Brindlee Mountain Pkwy, Arab, AL 35016 Phone: 256-931-2013 Fax: 256-931-2014
Mrs. Laura Richey, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1950 Friendship Rd, Arab, AL 35016 Phone: 256-931-6088 Fax: 256-931-6088
Occupational Therapy Services, Inc. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 261 S Main St, Arab, AL 35016 Phone: 256-931-3711 Fax: 256-931-3711

Kelley Pacillo, OTR/L - Medicare Occupational Therapist in Arab, AL