Kyleen Clarke, OTR/L in Tualatin, OR - Medicare Occupational Therapist Provider

Kyleen Clarke, OTR/L is a medicare enrolled "Occupational Therapist" provider in Tualatin, Oregon. Her current practice location is 8100 Sw Nyberg St Ste 200, Tualatin, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 570-3665.

Kyleen Clarke is licensed to practice in Oregon (license number 379013) 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 1487187977.

Contact Information

	Kyleen Clarke, OTR/L
	8100 Sw Nyberg St Ste 200, Tualatin, OR 97062-8437
	(503) 570-3665
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kyleen Clarke
Gender	Female
Speciality	Occupational Therapist
Location	8100 Sw Nyberg St Ste 200, Tualatin, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487187977
Provider Enumeration Date: 04/11/2017
Last Update Date: 08/18/2022

Medicare PECOS Information:

PECOS PAC ID: 8628452034
Enrollment ID: I20220902002874

Medical Identifiers

Medical identifiers for Kyleen Clarke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487187977	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	086425 (Iowa)	Secondary
225X00000X	Occupational Therapist	379013 (Oregon)	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. Kyleen Clarke allows following entities to bill medicare on her behalf.

Provider Name	Premere Rehab Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1245278639 PECOS PAC ID: 2567434764 Enrollment ID: O20110105000915

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. Kyleen Clarke 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
Kyleen Clarke, OTR/L 8100 Sw Nyberg St Ste 200, Tualatin, OR 97062-8437 Ph: () -	Kyleen Clarke, OTR/L 8100 Sw Nyberg St Ste 200, Tualatin, OR 97062-8437 Ph: (503) 570-3665

Reviews and Comments

Occupational Therapist in Tualatin, OR

Michelle Weidner, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 19250 Sw 65th Ave Ste 125, Tualatin, OR 97062 Phone: 503-413-4505 Fax: 503-413-4719
Serena Badgley, OTD, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 19365 Sw 65th Ave Ste 200, Tualatin, OR 97062 Phone: 503-692-5210 Fax: 503-692-8821
Christine A Baird, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 19500 Sw 90th Ct, Tualatin, OR 97062 Phone: 503-213-1708
Play To Grow Developmental Therapy Services Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 18959 Sw 84th Ave, Tualatin, OR 97062 Phone: 500-356-3543 Fax: 503-563-5281
Maria Bellafronte, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11975 Sw Herman Rd, Tualatin, OR 97062 Phone: 503-582-1955
Theresa Maher Roth, MA OTR L CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 19365 Sw 65th Ave Ste 200, Tualatin, OR 97062 Phone: 503-692-5210 Fax: 503-692-8821
Bonnie Oldham Carlson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 19250 Sw 65th Ave, Suite 125, Tualatin, OR 97062 Phone: 503-692-1670 Fax: 503-692-1669

Kyleen Clarke, OTR/L - Medicare Occupational Therapist in Tualatin, OR