Kendal Moriah Cloninger, OTR is a medicare enrolled "Occupational Therapist" provider in Dallas, North Carolina. Her current practice location is
214 Starview Ln, Dallas, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 648-8900.
Kendal Moriah Cloninger is licensed to practice in North Carolina (license number 15807) 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 1770286601.
Healthcare Provider's Profile
| Full Name | Kendal Moriah Cloninger |
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| Gender | Female |
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| Speciality | Occupational Therapist |
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| Location | 214 Starview Ln, Dallas, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1770286601
- Provider Enumeration Date: 03/22/2023
- Last Update Date: 03/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 2466806021
- Enrollment ID: I20230929003169
Medical Identifiers
Medical identifiers for Kendal Moriah Cloninger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770286601 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | 15807 (North Carolina) | 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. Kendal Moriah Cloninger allows following entities to bill medicare on her behalf.
| Provider Name | Paragon Outpatient Rehabilitation Services, Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1871867325
PECOS PAC ID: 8022272848
Enrollment ID: O20220822000895 |
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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. Kendal Moriah Cloninger 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 |
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Kendal Moriah Cloninger, OTR
214 Starview Ln,
Dallas, NC 28034-9229
Ph: (704) 648-8900 | Kendal Moriah Cloninger, OTR
214 Starview Ln,
Dallas, NC 28034-9229
Ph: (704) 648-8900 |
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