Mckenna Lee Frederick, OTR/L, OTD is a medicare enrolled "Occupational Therapist" provider in Wellington, Kansas. She graduated from medical school in 2023 and has 2 years of diverse experience with area of expertise as Occupational Therapist In Private Practice. She is a member of the group practice Advanced Pt Llc and 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
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and 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 In Private Practice |
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| Experience | 2 Years |
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| Location | 609 Sylvan Ln, Wellington, Kansas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mckenna Lee Frederick graduated from medical school in 2023
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 |
|---|
| 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 |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Advanced Pt Llc | 3678524709 | 79 |
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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