Mr Kelly Lon Drevecky, OT R/L in Minot, ND - Medicare Occupational Therapist Provider

Mr Kelly Lon Drevecky, OT R/L is a medicare enrolled "Occupational Therapist - Pediatrics" provider in Minot, North Dakota. His current practice location is 700 Harmony St Nw, Minot, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 720-5355.

Mr Kelly Lon Drevecky is licensed to practice in North Dakota (license number 612) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1457303695.

Contact Information

	Mr Kelly Lon Drevecky, OT R/L
	700 Harmony St Nw, Minot, ND 58703-2892
	(701) 720-5355
	(701) 839-1311

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Kelly Lon Drevecky
Gender	Male
Speciality	Occupational Therapist - Pediatrics
Location	700 Harmony St Nw, Minot, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457303695
Provider Enumeration Date: 05/16/2006
Last Update Date: 08/07/2008

Medicare PECOS Information:

PECOS PAC ID: 3971514480
Enrollment ID: I20060518000027

Medical Identifiers

Medical identifiers for Mr Kelly Lon Drevecky such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457303695	NPI	-	NPPES
50609	Medicaid	ND

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	612 (North Dakota)	Secondary
225XN1300X	Occupational Therapist - Neurorehabilitation	612 (North Dakota)	Secondary
225XP0200X	Occupational Therapist - Pediatrics	612 (North Dakota)	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. Mr Kelly Lon Drevecky 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
Mr Kelly Lon Drevecky, OT R/L 700 Harmony St Nw, Minot, ND 58703-2892 Ph: (701) 720-5355	Mr Kelly Lon Drevecky, OT R/L 700 Harmony St Nw, Minot, ND 58703-2892 Ph: (701) 720-5355

Reviews and Comments

Occupational Therapist in Minot, ND

Briana Jackson, M OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3120 4th Ave Nw, Minot, ND 58703 Phone: 701-720-5355
Jane Shekleton, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 800 16th Ave Se, Minot, ND 58701 Phone: 701-852-1399
Marcie Johnson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Burdick Expy W, Minot, ND 58701 Phone: 701-857-5277
Bharati R Mehta, O.T.R.L. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: Trinity Hospitals, 1 W Burdick Expy, Minot, ND 58701 Phone: 701-857-5105 Fax: 701-857-5646
Jessica L Delvacchio, DROT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 3rd Ave Sw Ste 102, Minot, ND 58701 Phone: 701-857-5286 Fax: 701-857-5694
Jenna Perlichek, MOTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 101 3rd Ave Sw, Minot, ND 58701 Phone: 701-857-5286 Fax: 701-857-5694
Lisa M Burke, O.T.R.L. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: Trinity Hospitals, 1 W Burdick Expy, Minot, ND 58701 Phone: 701-857-5105 Fax: 701-857-5646

Mr Kelly Lon Drevecky, OT R/L - Medicare Occupational Therapist in Minot, ND