Mara Childers, is a medicare enrolled "Occupational Therapist" provider in Hippo, Kentucky. Her current practice location is
4777 Ky Route 850, Hippo, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(606) 791-7435.
Mara Childers is licensed to practice in Kentucky (license number BOTOCT00222178) 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 1003284480.
Healthcare Provider's Profile
| Full Name | Mara Childers |
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| Gender | Female |
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| Speciality | Occupational Therapist |
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| Location | 4777 Ky Route 850, Hippo, Kentucky |
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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: 1003284480
- Provider Enumeration Date: 09/02/2015
- Last Update Date: 09/02/2015
Medicare PECOS Information:
- PECOS PAC ID: 7315372703
- Enrollment ID: I20200113001287
Medical Identifiers
Medical identifiers for Mara Childers such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003284480 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | BOTOCT00222178 (Kentucky) | 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. Mara Childers allows following entities to bill medicare on her behalf.
| Provider Name | Bluegrass Therapy Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1063066009
PECOS PAC ID: 2062847452
Enrollment ID: O20200113001181 |
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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. Mara Childers 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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Mara Childers,
4777 Ky Route 850,
Hippo, KY 41653-8331
Ph: () - | Mara Childers,
4777 Ky Route 850,
Hippo, KY 41653-8331
Ph: (606) 791-7435 |
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