Kelsea Rodriguez, OT in Wiggins, MS - Medicare Occupational Therapist Provider

Kelsea Rodriguez, OT is a medicare enrolled "Occupational Therapist" provider in Wiggins, Mississippi. Her current practice location is 1601 Central Ave W, Wiggins, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 716-3196.

Kelsea Rodriguez 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 1699550228.

Contact Information

	Kelsea Rodriguez, OT
	1601 Central Ave W, Wiggins, MS 39577-2401
	(601) 716-3196
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelsea Rodriguez
Gender	Female
Speciality	Occupational Therapist
Location	1601 Central Ave W, Wiggins, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699550228
Provider Enumeration Date: 08/30/2023
Last Update Date: 08/30/2023

Medicare PECOS Information:

PECOS PAC ID: 6901250760
Enrollment ID: I20230927002052

Medical Identifiers

Medical identifiers for Kelsea Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699550228	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
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. Kelsea Rodriguez allows following entities to bill medicare on her behalf.

Provider Name	Southern Physical Therapy Clinic Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1801370929 PECOS PAC ID: 6103167184 Enrollment ID: O20190402000733

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. Kelsea Rodriguez 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
Kelsea Rodriguez, OT 20057 Balata Dr, Gulfport, MS 39503-5459 Ph: () -	Kelsea Rodriguez, OT 1601 Central Ave W, Wiggins, MS 39577-2401 Ph: (601) 716-3196

Reviews and Comments

Occupational Therapist in Wiggins, MS

Candace Kemp, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1440 Central Ave E, Wiggins, MS 39577 Phone: 601-928-6700 Fax: 601-928-6731
Devon D Hand, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 550 Simpson St, Wiggins, MS 39577 Phone: 601-528-1634
Taylor Nicole Lusk, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1436 Central Ave E, Wiggins, MS 39577 Phone: 601-928-1889
Brittney Mahoney, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 711 Hall St, Wiggins, MS 39577 Phone: 601-928-5511 Fax: 601-928-6110
Mrs. Carly Anne Nichols, OTD OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1601 Central Ave W, Wiggins, MS 39577 Phone: 601-716-3196 Fax: 601-974-9919
Ashton Hermetz Kramer, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1440 Central Ave E, Wiggins, MS 39577 Phone: 601-928-6700

Kelsea Rodriguez, OT - Medicare Occupational Therapist in Wiggins, MS