Mrs Kelly Ann Fiala, MOTR/L is a medicare enrolled "Occupational Therapist - Gerontology" provider in New Madrid, Missouri. Her current practice location is
35 Villa Shopping Ctr, New Madrid, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 621-3126.
Mrs Kelly Ann Fiala is licensed to practice in Missouri (license number 2005028265) 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 1285170209.
Healthcare Provider's Profile
| Full Name | Mrs Kelly Ann Fiala |
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| Gender | Female |
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| Speciality | Occupational Therapist - Gerontology |
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| Location | 35 Villa Shopping Ctr, New Madrid, Missouri |
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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: 1285170209
- Provider Enumeration Date: 01/14/2017
- Last Update Date: 09/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 9830509942
- Enrollment ID: I20201030002471
Medical Identifiers
Medical identifiers for Mrs Kelly Ann Fiala such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285170209 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225XP0019X | Occupational Therapist - Physical Rehabilitation | 2005028265 (Missouri) | Secondary |
| 225XG0600X | Occupational Therapist - Gerontology | 2005028265 (Missouri) | 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. Mrs Kelly Ann Fiala allows following entities to bill medicare on her behalf.
| Provider Name | Envision Rehab And Wellness Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1962016774
PECOS PAC ID: 9830519933
Enrollment ID: O20201012000574 |
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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. Mrs Kelly Ann Fiala 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 |
|---|
Mrs Kelly Ann Fiala, MOTR/L
630 Knollshire Way,
Dardenne Prairie, MO 63368-8376
Ph: (636) 695-4330 | Mrs Kelly Ann Fiala, MOTR/L
35 Villa Shopping Ctr,
New Madrid, MO 63869-1230
Ph: (573) 621-3126 |
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