Kelsey L Dufault, MS, OTR/L in Fountain Valley, CA - Medicare Occupational Therapist Provider

Kelsey L Dufault, MS, OTR/L is a medicare enrolled "Occupational Therapist - Pediatrics" provider in Fountain Valley, California. Her current practice location is 17075 Bushard St, Fountain Valley, California. You can reach out to her office (for appointments etc.) via phone at (855) 901-7742.

Kelsey L Dufault is licensed to practice in California (license number 15635) 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 1265802896.

Contact Information

	Kelsey L Dufault, MS, OTR/L
	17075 Bushard St, Fountain Valley, CA 92708-2836
	(855) 901-7742
	(714) 962-4159

Map and Direction

Healthcare Provider's Profile

Full Name	Kelsey L Dufault
Gender	Female
Speciality	Occupational Therapist - Pediatrics
Location	17075 Bushard St, Fountain Valley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265802896
Provider Enumeration Date: 09/24/2015
Last Update Date: 08/14/2023

Medicare PECOS Information:

PECOS PAC ID: 7315300068
Enrollment ID: I20230828003021

Medical Identifiers

Medical identifiers for Kelsey L Dufault such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265802896	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225XP0200X	Occupational Therapist - Pediatrics	15635 (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. Kelsey L Dufault allows following entities to bill medicare on her behalf.

Provider Name	Collective Therapy Corp
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1396380911 PECOS PAC ID: 0143651802 Enrollment ID: O20200513000150

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. Kelsey L Dufault 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
Kelsey L Dufault, MS, OTR/L 1100 Blythe Blvd, Charlotte, NC 28203-5814 Ph: (704) 355-7760	Kelsey L Dufault, MS, OTR/L 17075 Bushard St, Fountain Valley, CA 92708-2836 Ph: (855) 901-7742

Reviews and Comments

Occupational Therapist in Fountain Valley, CA

Amy Ahn, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 17075 Bushard St, Fountain Valley, CA 92708 Phone: 714-964-9277
Carissa Voegele, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 18350 Mount Langley St, #105, Fountain Valley, CA 92708 Phone: 714-965-2324 Fax: 714-965-2684
Anne M Smura, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 18643 Brookhurst St, Fountain Valley, CA 92708 Phone: 714-962-3867 Fax: 714-962-3477
Mrs. Veronica Jean Clark, M.A. OTR/L SLPTC Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 18350 Mount Langley St, #105, Fountain Valley, CA 92708 Phone: 714-965-2324 Fax: 714-965-2684
Sharon Korchin, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10221 Slater Ave, Suite 115, Fountain Valley, CA 92708 Phone: 949-599-0218 Fax: 949-859-0218
Joyce L. Jung Machin, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 18350 Mount Langley St Ste 105, Fountain Valley, CA 92708 Phone: 714-965-2324 Fax: 714-965-2684

Kelsey L Dufault, MS, OTR/L - Medicare Occupational Therapist in Fountain Valley, CA