Leslie Anne Connelly, MS OTR/L is a medicare enrolled "Occupational Therapist" provider in Long Valley, New Jersey. Her current practice location is
158 Pleasant Grove Rd, Long Valley, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(908) 268-4644.
Leslie Anne Connelly is licensed to practice in New Jersey (license number 46TR00680800) 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 1619367430.
Healthcare Provider's Profile
Full Name | Leslie Anne Connelly |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 158 Pleasant Grove Rd, Long Valley, New Jersey |
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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: 1619367430
- Provider Enumeration Date: 02/01/2015
- Last Update Date: 02/01/2015
Medicare PECOS Information:
- PECOS PAC ID: 3577849686
- Enrollment ID: I20170404000367
Medical Identifiers
Medical identifiers for Leslie Anne Connelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619367430 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 46TR00680800 (New Jersey) | 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. Leslie Anne Connelly allows following entities to bill medicare on her behalf.
Provider Name | Fox Rehabilitation Services Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1326092503 PECOS PAC ID: 0143133009 Enrollment ID: O20150303000554 |
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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. Leslie Anne Connelly 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 |
Leslie Anne Connelly, MS OTR/L 158 Pleasant Grove Rd, Long Valley, NJ 07853-3445 Ph: (908) 268-4644 | Leslie Anne Connelly, MS OTR/L 158 Pleasant Grove Rd, Long Valley, NJ 07853-3445 Ph: (908) 268-4644 |
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