Mrs Mary Kathleen Gordon, OTR/L in Kewanee, IL - Medicare Occupational Therapist Provider

Mrs Mary Kathleen Gordon, OTR/L is a medicare enrolled "Occupational Therapist" provider in Kewanee, Illinois. Her current practice location is 1051 W South St, Kewanee, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 852-7931.

Mrs Mary Kathleen Gordon is licensed to practice in Illinois (license number 056009143) 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 1235446261.

Contact Information

	Mrs Mary Kathleen Gordon, OTR/L
	1051 W South St, Kewanee, IL 61443-8354
	(309) 852-7931
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Mary Kathleen Gordon
Gender	Female
Speciality	Occupational Therapist
Location	1051 W South St, Kewanee, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235446261
Provider Enumeration Date: 09/13/2010
Last Update Date: 09/13/2010

Medicare PECOS Information:

PECOS PAC ID: 7416184205
Enrollment ID: I20131227000511

Medical Identifiers

Medical identifiers for Mrs Mary Kathleen Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235446261	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	056009143 (Illinois)	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 Mary Kathleen Gordon allows following entities to bill medicare on her behalf.

Provider Name	Genesis Health System
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1477654945 PECOS PAC ID: 7214841436 Enrollment ID: O20031113000044

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 Mary Kathleen Gordon 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 Mary Kathleen Gordon, OTR/L Po Box 747, Kewanee, IL 61443-0747 Ph: (309) 852-7931	Mrs Mary Kathleen Gordon, OTR/L 1051 W South St, Kewanee, IL 61443-8354 Ph: (309) 852-7931

Reviews and Comments

Occupational Therapist in Kewanee, IL

Sheena Johnson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 719 Elliott St, Kewanee, IL 61443 Phone: 309-852-6446
Kelli E Rashid, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 125 South Street, Suite B, Kewanee, IL 61443 Phone: 309-852-2200 Fax: 309-852-2402
Ashley Foglesong, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 110 E 10th St, Kewanee, IL 61443 Phone: 309-852-2200 Fax: 309-852-2402
Jennifer Oetzel, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1051 W South St, Kewanee, IL 61443 Phone: 309-852-7547

Mrs Mary Kathleen Gordon, OTR/L - Medicare Occupational Therapist in Kewanee, IL