Mrs Kelly Ann King, OTR/L - Medicare Occupational Therapist in Jordan, MN

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Mrs Kelly Ann King, OTR/L is a medicare enrolled "Occupational Therapist" provider in Jordan, Minnesota. Her current practice location is 622 Aberdeen Ave, Jordan, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 492-2220.

Mrs Kelly Ann King is licensed to practice in Minnesota (license number 103544) 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 1821332305.

Contact Information

Mrs Kelly Ann King, OTR/L
622 Aberdeen Ave,
Jordan, MN 55352-9516
(952) 492-2220
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Kelly Ann King
GenderFemale
SpecialityOccupational Therapist
Location622 Aberdeen Ave, Jordan, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1821332305
  • Provider Enumeration Date: 11/21/2012
  • Last Update Date: 02/16/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2062756976
  • Enrollment ID: I20181211002996

Medical Identifiers

Medical identifiers for Mrs Kelly Ann King such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821332305NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 103544 (Minnesota)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 King allows following entities to bill medicare on her behalf.
Provider NamePowerback Rehabilitation Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1013498914
PECOS PAC ID: 2365359932
Enrollment ID: O20181204002105

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 King 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 AddressPractice Location Address
Mrs Kelly Ann King, OTR/L
15930 Carver Highlands Dr,
Carver, MN 55315-9657

Ph: (612) 770-0243		Mrs Kelly Ann King, OTR/L
622 Aberdeen Ave,
Jordan, MN 55352-9516

Ph: (952) 492-2220

Reviews and Comments


Occupational Therapist in Jordan, MN

Nicole Halvorson,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 622 Aberdeen Ave, Jordan, MN 55352
Phone: 952-492-5559    
Amanda Preiner, OTR/L
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 622 Aberdeen Ave, Jordan, MN 55352
Phone: 612-505-8968    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.