Kim Hagstrom, OTR/L is a medicare enrolled "Occupational Therapist - Mental Health" provider in West Brentwood, New York. Her current practice location is
998 Crooked Hill Rd, West Brentwood, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 761-2780.
Kim Hagstrom is licensed to practice in New York (license number 004167-1) 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 1730917055.
Healthcare Provider's Profile
Full Name | Kim Hagstrom |
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Gender | Female |
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Speciality | Occupational Therapist - Mental Health |
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Location | 998 Crooked Hill Rd, West Brentwood, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1730917055
- Provider Enumeration Date: 07/26/2024
- Last Update Date: 07/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 8325588148
- Enrollment ID: I20240909000200
Medical Identifiers
Medical identifiers for Kim Hagstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730917055 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225XM0800X | Occupational Therapist - Mental Health | 004167-1 (New York) | Primary |
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. Kim Hagstrom 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 |
Kim Hagstrom, OTR/L 998 Crooked Hill Rd, West Brentwood, NY 11717-1019 Ph: (631) 761-2780 | Kim Hagstrom, OTR/L 998 Crooked Hill Rd, West Brentwood, NY 11717-1019 Ph: (631) 761-2780 |
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