Mckenna Heisen, OTR/L in Gardena, CA - Medicare Occupational Therapist Provider

Mckenna Heisen, OTR/L is a medicare enrolled "Occupational Therapist - Pediatrics" provider in Gardena, California. Her current practice location is 18333 S Main St, Gardena, California. You can reach out to her office (for appointments etc.) via phone at (310) 337-7115.

Mckenna Heisen is licensed to practice in California (license number 22660) 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 1932860392.

Contact Information

	Mckenna Heisen, OTR/L
	18333 S Main St, Gardena, CA 90248-4607
	(310) 337-7115
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mckenna Heisen
Gender	Female
Speciality	Occupational Therapist - Pediatrics
Location	18333 S Main St, Gardena, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932860392
Provider Enumeration Date: 01/06/2022
Last Update Date: 10/15/2024

Medicare PECOS Information:

PECOS PAC ID: 6800321803
Enrollment ID: I20241127003888

Medical Identifiers

Medical identifiers for Mckenna Heisen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932860392	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225XP0200X	Occupational Therapist - Pediatrics	22660 (California)	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. Mckenna Heisen allows following entities to bill medicare on her behalf.

Provider Name	Southern California Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Mckenna Heisen 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
Mckenna Heisen, OTR/L 18333 S Main St, Gardena, CA 90248-4607 Ph: (310) 337-7115	Mckenna Heisen, OTR/L 18333 S Main St, Gardena, CA 90248-4607 Ph: (310) 337-7115

Reviews and Comments

Occupational Therapist in Gardena, CA

Justin A Parnell, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 108 W Victoria St, Gardena, CA 90248 Phone: 310-715-2020
Tiffany Ashley Moore, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1145 W Redondo Beach Blvd, Gardena, CA 90247 Phone: 310-532-4200
Gerard Del Rosario, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1045 W Redondo Beach Blvd Ste 130, Gardena, CA 90247 Phone: 310-329-1444
Michelle C. Kornet, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: Easterseals, 1411 W 190th St Ste 110, Gardena, CA 90248 Phone: 845-803-5118
John Resurreccion, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15331 Jasmine Ln Unit 106, Gardena, CA 90249 Phone: 562-857-4671
Dr. Heidi Elizabeth Tenpas, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 108 W Victoria St, Gardena, CA 90248 Phone: 310-715-2020
Axel Sta Maria, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 879 W 190th St Ste 300, Gardena, CA 90248 Phone: 310-323-6887

Mckenna Heisen, OTR/L - Medicare Occupational Therapist in Gardena, CA