Mario Antley Kassa, OTR/L, is a
Student In An Organized Health Care Education/training Program based in Aurora, Illinois. Mario Antley Kassa is licensed to practice in Utah (license number ) and his current practice location is
3200 Bremerton Ln, Aurora, Illinois. He can be reached at his office (for appointments etc.) via phone at
(630) 999-0175.
NPI number for Mario Antley Kassa is 1689488744 and his current mailing address is 3200 Bremerton Ln, Aurora, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689488744.
Healthcare Provider's Profile
| Full Name | Mario Antley Kassa |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 3200 Bremerton Ln, Aurora, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1689488744
- Provider Enumeration Date: 02/06/2025
- Last Update Date: 02/06/2025
Medical Identifiers
Medical identifiers for Mario Antley Kassa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689488744 | NPI | - | NPPES |
| 22860 | Other | CA | CALIFORNIA BOARD OF OCCUPATIONAL THERAPY |
| 2021005455 | Other | MO | MISSOURI DIVISION OF PROFESSIONAL REGISTRATION- OCCUPATIONAL THERAPY |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 22860 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Utah) | Primary |
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. Mario Antley Kassa is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mario Antley Kassa, OTR/L,
3200 Bremerton Ln,
Aurora, IL 60504-7263
Ph: (630) 999-0175 | Mario Antley Kassa, OTR/L,
3200 Bremerton Ln,
Aurora, IL 60504-7263
Ph: (630) 999-0175 |
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