Lee Anne Krystle Rico Chan, OTR/L in Berlin, MD - Medicare Occupational Therapist Provider

Lee Anne Krystle Rico Chan, OTR/L is a medicare enrolled "Occupational Therapist" provider in Berlin, Maryland. Her current practice location is 9715 Healthway Dr, Berlin, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 641-4400.

Lee Anne Krystle Rico Chan is licensed to practice in Maryland (license number 08263) 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 1104472729.

Contact Information

	Lee Anne Krystle Rico Chan, OTR/L
	9715 Healthway Dr, Berlin, MD 21811-3500
	(410) 641-4400
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lee Anne Krystle Rico Chan
Gender	Female
Speciality	Occupational Therapist
Location	9715 Healthway Dr, Berlin, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104472729
Provider Enumeration Date: 08/11/2019
Last Update Date: 08/11/2019

Medicare PECOS Information:

PECOS PAC ID: 5991116832
Enrollment ID: I20201124002149

Medical Identifiers

Medical identifiers for Lee Anne Krystle Rico Chan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104472729	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OC013811 (Pennsylvania)	Secondary
225X00000X	Occupational Therapist	U1-0001898 (Delaware)	Secondary
225X00000X	Occupational Therapist	08263 (Maryland)	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. Lee Anne Krystle Rico Chan allows following entities to bill medicare on her behalf.

Provider Name	Powerback Rehabilitation Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1427454164 PECOS PAC ID: 2365359932 Enrollment ID: O20150529002032

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. Lee Anne Krystle Rico Chan 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
Lee Anne Krystle Rico Chan, OTR/L 9892 Shore Break Ln Apt 105, Berlin, MD 21811-2971 Ph: (917) 514-4470	Lee Anne Krystle Rico Chan, OTR/L 9715 Healthway Dr, Berlin, MD 21811-3500 Ph: (410) 641-4400

Reviews and Comments

Occupational Therapist in Berlin, MD

Mrs. Kathy Ann Lueders, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11318 Showell School Rd, Berlin, MD 21811 Phone: 410-632-5350
Melissa Croston, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 9715 Healthway Dr, Berlin, MD 21811 Phone: 410-641-4400
Nancy D. Taylor, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10231 Old Ocean City Blvd, Suite 101, Berlin, MD 21811 Phone: 410-641-2220 Fax: 410-629-0348
Cassidy Pradon, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9715 Healthway Dr, Therapy Department, Berlin, MD 21811 Phone: 410-641-4400
Marissa Reeves, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 9954 N Main St Unit 3, Berlin, MD 21811 Phone: 443-513-3910 Fax: 443-513-3979
Alyssa Sherr, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 11070 Cathell Rd Ste 9b, Berlin, MD 21811 Phone: 443-856-2255

Lee Anne Krystle Rico Chan, OTR/L - Medicare Occupational Therapist in Berlin, MD