Kellye Ann Wentworth, OT/L in Pittsfield, ME - Medicare Occupational Therapist Provider

Kellye Ann Wentworth, OT/L is a medicare enrolled "Occupational Therapist" provider in Pittsfield, Maine. Her current practice location is 141 Leighton St, Pittsfield, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 487-9293.

Kellye Ann Wentworth is licensed to practice in Maine (license number TO2446) 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 1144530122.

Contact Information

	Kellye Ann Wentworth, OT/L
	141 Leighton St, Pittsfield, ME 04967-3718
	(207) 487-9293
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kellye Ann Wentworth
Gender	Female
Speciality	Occupational Therapist
Location	141 Leighton St, Pittsfield, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144530122
Provider Enumeration Date: 10/08/2010
Last Update Date: 01/22/2020

Medicare PECOS Information:

PECOS PAC ID: 4688051832
Enrollment ID: I20220510000894

Medical Identifiers

Medical identifiers for Kellye Ann Wentworth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144530122	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	TO2446 (Maine)	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. Kellye Ann Wentworth allows following entities to bill medicare on her behalf.

Provider Name	Function First Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1154094506 PECOS PAC ID: 3779960927 Enrollment ID: O20220510000858

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. Kellye Ann Wentworth 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
Kellye Ann Wentworth, OT/L 67 Mt View Dr, Plymouth, ME 04969-3235 Ph: (207) 416-2327	Kellye Ann Wentworth, OT/L 141 Leighton St, Pittsfield, ME 04967-3718 Ph: (207) 487-9293

Reviews and Comments

Occupational Therapist in Pittsfield, ME

Kellie J Huard, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 447 N Main St, Pittsfield, ME 04967 Phone: 207-487-9293 Fax: 207-487-4594
Amy L Wing Stevens, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 447 N Main St, Pittsfield, ME 04967 Phone: 207-487-9293 Fax: 207-487-4594
Olivia Beth Baird, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 167 Sebasticook St, Pittsfield, ME 04967 Phone: 207-416-2327

Kellye Ann Wentworth, OT/L - Medicare Occupational Therapist in Pittsfield, ME