Kristen Gualbert, MS, OTR/L - Medicare Occupational Therapist in Middle Island, NY

Kristen Gualbert, MS, OTR/L is a medicare enrolled "Occupational Therapist" provider in Middle Island, New York. Her current practice location is 347 Lake Pointe Dr, Middle Island, New York. You can reach out to her office (for appointments etc.) via phone at (631) 312-2006.

Kristen Gualbert is licensed to practice in New York (license number 023786) 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 1659928489.

Contact Information

Kristen Gualbert, MS, OTR/L
347 Lake Pointe Dr,
Middle Island, NY 11953-2036
(631) 312-2006
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKristen Gualbert
GenderFemale
SpecialityOccupational Therapist
Location347 Lake Pointe Dr, Middle Island, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659928489
  • Provider Enumeration Date: 08/26/2019
  • Last Update Date: 08/26/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3779813563
  • Enrollment ID: I20190920001319

Medical Identifiers

Medical identifiers for Kristen Gualbert such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659928489NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 023786 (New York)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. Kristen Gualbert allows following entities to bill medicare on her behalf.
Provider NameMedcare Therapy Services:physical, Occupational & Massage Therapy,pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1326355132
PECOS PAC ID: 4789871773
Enrollment ID: O20101202000904
Provider NameEsd Pt Ot & Slp Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1003383308
PECOS PAC ID: 5991044125
Enrollment ID: O20190305001668

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. Kristen Gualbert 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 AddressPractice Location Address
Kristen Gualbert, MS, OTR/L
347 Lake Pointe Dr,
Middle Island, NY 11953-2036

Ph: (631) 312-2006
Kristen Gualbert, MS, OTR/L
347 Lake Pointe Dr,
Middle Island, NY 11953-2036

Ph: (631) 312-2006

Reviews and Comments


Occupational Therapist in Middle Island, NY

Sina Grillo,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 35 Longwood Rd, Middle Island, NY 11953
Phone: 631-924-0008    
Alexander John Michalos, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 35 Longwood Rd, Middle Island, NY 11953
Phone: 631-924-0008    
Ambryel Marie Moder,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 35 Longwood Rd, Middle Island, NY 11953
Phone: 631-924-0008    
Ms. Kristine Lynn Harkins, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 35 Longwood Rd, Middle Island, NY 11953
Phone: 631-924-0008    
Veronica Teresa Cervone, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 35 Longwood Rd, Middle Island, NY 11953
Phone: 631-924-0008    
Mrs. Yun-bing Koo, O.T.R./L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 107 E Bartlett Rd, Middle Island, NY 11953
Phone: 631-775-9090    Fax: 631-775-9090
Mr. Michael Badillo,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 35 Longwood Rd, Middle Island, NY 11953
Phone: 631-924-0008    Fax: 631-924-4602

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.