Mckenna Lee Frederick, OTR/L, OTD is a medicare enrolled "Occupational Therapist" provider in Wellington, Kansas. Her current practice location is
609 Sylvan Ln, Wellington, Kansas. You can reach out to her office (for appointments etc.) via phone at
(620) 440-0671.
Mckenna Lee Frederick is licensed to practice in Kansas (license number 17-04206) 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 1447079892.
Healthcare Provider's Profile
| Full Name | Mckenna Lee Frederick |
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| Gender | Female |
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| Speciality | Occupational Therapist |
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| Location | 609 Sylvan Ln, Wellington, Kansas |
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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: 1447079892
- Provider Enumeration Date: 10/03/2024
- Last Update Date: 11/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 2466986153
- Enrollment ID: I20241118002805
Medical Identifiers
Medical identifiers for Mckenna Lee Frederick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1447079892 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | 17-04206 (Kansas) | Primary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
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 Lee Frederick allows following entities to bill medicare on her behalf.
| Provider Name | Advanced Pt Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1780616789
PECOS PAC ID: 3678524709
Enrollment ID: O20060222000723 |
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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. Mckenna Lee Frederick 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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Mckenna Lee Frederick, OTR/L, OTD
609 Sylvan Ln,
Wellington, KS 67152-3258
Ph: (620) 440-0671 | Mckenna Lee Frederick, OTR/L, OTD
609 Sylvan Ln,
Wellington, KS 67152-3258
Ph: (620) 440-0671 |
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