Kenna Lynn Kacillas, OTR/L in Cheyenne, WY - Medicare Occupational Therapist Provider

Kenna Lynn Kacillas, OTR/L is a medicare enrolled "Occupational Therapist" provider in Cheyenne, Wyoming. Her current practice location is 3128 Boxelder Dr, Cheyenne, Wyoming. You can reach out to her office (for appointments etc.) via phone at (307) 634-7901.

Kenna Lynn Kacillas is licensed to practice in Wyoming (license number OTR-1208) 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 1114447893.

Contact Information

	Kenna Lynn Kacillas, OTR/L
	3128 Boxelder Dr, Cheyenne, WY 82001-5808
	(307) 634-7901
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kenna Lynn Kacillas
Gender	Female
Speciality	Occupational Therapist
Location	3128 Boxelder Dr, Cheyenne, Wyoming
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114447893
Provider Enumeration Date: 06/22/2017
Last Update Date: 06/22/2017

Medicare PECOS Information:

PECOS PAC ID: 8921469644
Enrollment ID: I20230727003164

Medical Identifiers

Medical identifiers for Kenna Lynn Kacillas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114447893	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OTR-1208 (Wyoming)	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. Kenna Lynn Kacillas allows following entities to bill medicare on her behalf.

Provider Name	Kaiser Foundation Health Plan Of The Northwest
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799

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. Kenna Lynn Kacillas 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
Kenna Lynn Kacillas, OTR/L 3982 Mount Flora St, Wellington, CO 80549-2207 Ph: (570) 436-3718	Kenna Lynn Kacillas, OTR/L 3128 Boxelder Dr, Cheyenne, WY 82001-5808 Ph: (307) 634-7901

Reviews and Comments

Occupational Therapist in Cheyenne, WY

Ms. Jackie Renee Thatcher, O.T.R. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4735 Maple Way, Cheyenne, WY 82009 Phone: 307-635-7605
Erica Kaylynne Strautman, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 903 S Greeley Hwy Ste B, Cheyenne, WY 82007 Phone: 307-634-2109 Fax: 307-683-4005
Kaitlin Brew, MOTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 4606 N College Dr, Cheyenne, WY 82009 Phone: 307-414-8394 Fax: 307-316-8125
Amanda Dawn Scott, O.T.R Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5801 Yellowstone Rd, Cheyenne, WY 82009 Phone: 307-638-6100
Sherri Dawn Strohman, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3718 Pioneer Ave, Cheyenne, WY 82001 Phone: 307-630-5274
Angie Lea Crotser, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2360 E Pershing Blvd, Cheyenne, WY 82001 Phone: 307-778-7550

Kenna Lynn Kacillas, OTR/L - Medicare Occupational Therapist in Cheyenne, WY