Macy Marie Koetters, is a medicare enrolled "Occupational Therapist" provider in Parkville, Missouri. Her current practice location is
6264 Lewis Dr Ste 100, Parkville, Missouri. You can reach out to her office (for appointments etc.) via phone at
(816) 587-8001.
Macy Marie Koetters is licensed to practice in Missouri (license number 2024001149) 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 1760253595.
Healthcare Provider's Profile
| Full Name | Macy Marie Koetters |
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| Gender | Female |
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| Speciality | Occupational Therapist |
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| Location | 6264 Lewis Dr Ste 100, Parkville, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1760253595
- Provider Enumeration Date: 01/10/2024
- Last Update Date: 01/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 1355780305
- Enrollment ID: I20240423003896
Medical Identifiers
Medical identifiers for Macy Marie Koetters such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1760253595 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | 2024001149 (Missouri) | 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. Macy Marie Koetters allows following entities to bill medicare on her behalf.
| Provider Name | Select Physical Therapy Holdings Inc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1033179510
PECOS PAC ID: 9537076401
Enrollment ID: O20100130000234 |
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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. Macy Marie Koetters 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 |
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Macy Marie Koetters,
1933 Lawrence Ct,
Kansas City, KS 66103-2218
Ph: (913) 660-4356 | Macy Marie Koetters,
6264 Lewis Dr Ste 100,
Parkville, MO 64152-3603
Ph: (816) 587-8001 |
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