Misty M Fairchild, OTR/L is a medicare enrolled "Occupational Therapist" provider in Kemp, Texas. Her current practice location is
19059 State Highway 274, Kemp, Texas. You can reach out to her office (for appointments etc.) via phone at
(903) 498-3737.
Misty M Fairchild is licensed to practice in Texas (license number 108831) 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 1427112218.
Healthcare Provider's Profile
| Full Name | Misty M Fairchild |
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| Gender | Female |
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| Speciality | Occupational Therapist |
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| Location | 19059 State Highway 274, Kemp, Texas |
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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: 1427112218
- Provider Enumeration Date: 12/19/2006
- Last Update Date: 04/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 8325192743
- Enrollment ID: I20090820000105
Medical Identifiers
Medical identifiers for Misty M Fairchild such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427112218 | NPI | - | NPPES |
| 1063594927 | Medicaid | TX | |
| 005390203 | Medicaid | TX | |
| 005390204 | Medicaid | TX | |
| 005390202 | Medicaid | TX | |
| 1427112218 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 108831 (Texas) | 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. Misty M Fairchild allows following entities to bill medicare on her behalf.
| Provider Name | Turner Therapy, Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1063594927
PECOS PAC ID: 4880748201
Enrollment ID: O20090820000080 |
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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. Misty M Fairchild 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 |
|---|
Misty M Fairchild, OTR/L
Po Box 305,
Kaufman, TX 75142-0305
Ph: (903) 498-3737 | Misty M Fairchild, OTR/L
19059 State Highway 274,
Kemp, TX 75143-5382
Ph: (903) 498-3737 |
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