Mrs Kimberly M Fonder, OTR/L in Burlington, NC - Medicare Occupational Therapist Provider

Mrs Kimberly M Fonder, OTR/L is a medicare enrolled "Occupational Therapist" provider in Burlington, North Carolina. Her current practice location is 1225 Huffman Mill Rd, Suite 201, Burlington, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 584-7689.

Mrs Kimberly M Fonder is licensed to practice in North Carolina (license number 6009) 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 1477560704.

Contact Information

	Mrs Kimberly M Fonder, OTR/L
	1225 Huffman Mill Rd, Suite 201, Burlington, NC 27215-8788
	(336) 584-7689
	(336) 584-8063

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kimberly M Fonder
Gender	Female
Speciality	Occupational Therapist
Location	1225 Huffman Mill Rd, Burlington, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477560704
Provider Enumeration Date: 08/01/2006
Last Update Date: 05/14/2015

Medicare PECOS Information:

PECOS PAC ID: 5597115725
Enrollment ID: I20231229000896

Medical Identifiers

Medical identifiers for Mrs Kimberly M Fonder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477560704	NPI	-	NPPES
1477560704	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	6009 (North Carolina)	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 Kimberly M Fonder allows following entities to bill medicare on her behalf.

Provider Name	Legacy Healthcare Services Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1104823400 PECOS PAC ID: 2163339722 Enrollment ID: O20170118000750

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 Kimberly M Fonder 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 Kimberly M Fonder, OTR/L 2307 Mill Ln, High Point, NC 27265-9184 Ph: (336) 269-1034	Mrs Kimberly M Fonder, OTR/L 1225 Huffman Mill Rd, Suite 201, Burlington, NC 27215-8788 Ph: (336) 584-7689

Reviews and Comments

Occupational Therapist in Burlington, NC

Ms. Lucinda Varn Collins, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1987 Hilton Rd, Alamance Health Care Center, Burlington, NC 27217 Phone: 336-226-0848
Brenda Carolina Calderon Salazar, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 606 E Davis St, Burlington, NC 27215 Phone: 336-513-8550 Fax: 743-205-3533
Kristal Lynn Hayes, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1860 Brookwood Ave, Burlington, NC 27215 Phone: 336-570-8400
Laquestis Nicole Scott, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1111 Huffman Mill Rd, Burlington, NC 27215 Phone: 336-584-5544
Lisa Beth Viana, OT/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 155 Nevis Way, Burlington, NC 27215 Phone: 336-601-4727
Mrs. Shakila Holbert, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1820 Brookwood Ave, Burlington, NC 27215 Phone: 336-572-8280 Fax: 336-570-8282
Lorin Erickson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3954 Kincade Dr, Burlington, NC 27215 Phone: 516-707-1931

Mrs Kimberly M Fonder, OTR/L - Medicare Occupational Therapist in Burlington, NC