Susanna Keneda Dutch, OTR/L in Jefferson, GA - Medicare Occupational Therapist Provider

Susanna Keneda Dutch, OTR/L is a medicare enrolled "Occupational Therapist" provider in Jefferson, Georgia. Her current practice location is 535 Cedar Wood Way, Jefferson, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 481-7843.

Susanna Keneda Dutch is licensed to practice in Georgia (license number 003932) 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 1730418716.

Contact Information

	Susanna Keneda Dutch, OTR/L
	535 Cedar Wood Way, Jefferson, GA 30549-8849
	(678) 481-7843
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Susanna Keneda Dutch
Gender	Female
Speciality	Occupational Therapist
Location	535 Cedar Wood Way, Jefferson, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730418716
Provider Enumeration Date: 12/21/2009
Last Update Date: 04/18/2022

Medicare PECOS Information:

PECOS PAC ID: 1456738418
Enrollment ID: I20220512000515

Medical Identifiers

Medical identifiers for Susanna Keneda Dutch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730418716	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	003932 (Georgia)	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. Susanna Keneda Dutch allows following entities to bill medicare on her behalf.

Provider Name	The Weston Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1841309101 PECOS PAC ID: 8123936796 Enrollment ID: O20050719000195

Provider Name	Paxxon Healthcare Services Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1386917532 PECOS PAC ID: 8325959554 Enrollment ID: O20120409000213

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. Susanna Keneda Dutch 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
Susanna Keneda Dutch, OTR/L 535 Cedar Wood Way, Jefferson, GA 30549-8849 Ph: (678) 481-7843	Susanna Keneda Dutch, OTR/L 535 Cedar Wood Way, Jefferson, GA 30549-8849 Ph: (678) 481-7843

Reviews and Comments

Occupational Therapist in Jefferson, GA

Mrs. Morgan Rosson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 151 River Mist Cir, Jefferson, GA 30549 Phone: 706-410-5816
Cilleain S. O'keeffe, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 510 Panther Dr, Jefferson, GA 30549 Phone: 706-367-1141 Fax: 706-367-1142
Lillian Reed, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 510 Panther Dr, Jefferson, GA 30549 Phone: 706-367-1141 Fax: 706-367-1142
Emma A James, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 510 Panther Dr, Jefferson, GA 30549 Phone: 678-644-5567
Ashtin Johnson, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 510 Panther Dr, Jefferson, GA 30549 Phone: 706-367-1141 Fax: 706-367-1142
Lindsey Clausen, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 510 Panther Dr, Jefferson, GA 30549 Phone: 706-367-1141 Fax: 706-932-0206

Susanna Keneda Dutch, OTR/L - Medicare Occupational Therapist in Jefferson, GA