Callaway Kennedy, OTR/L in Cypress, CA - Medicare Occupational Therapist Provider

Callaway Kennedy, OTR/L is a medicare enrolled "Occupational Therapist" provider in Cypress, California. Her current practice location is 11205 Knott Ave Ste E, Cypress, California. You can reach out to her office (for appointments etc.) via phone at (714) 893-7399.

Callaway Kennedy is licensed to practice in California (license number 25556) 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 1639941479.

Contact Information

	Callaway Kennedy, OTR/L
	11205 Knott Ave Ste E, Cypress, CA 90630-5489
	(714) 893-7399
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Callaway Kennedy
Gender	Female
Speciality	Occupational Therapist
Location	11205 Knott Ave Ste E, Cypress, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639941479
Provider Enumeration Date: 10/25/2023
Last Update Date: 10/25/2023

Medicare PECOS Information:

PECOS PAC ID: 3971951336
Enrollment ID: I20231122002358

Medical Identifiers

Medical identifiers for Callaway Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639941479	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	25556 (California)	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. Callaway Kennedy allows following entities to bill medicare on her behalf.

Provider Name	Orthopaedic And Neurological Rehab Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1225496540 PECOS PAC ID: 6507159126 Enrollment ID: O20160720000431

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. Callaway Kennedy 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
Callaway Kennedy, OTR/L 11205 Knott Ave Ste E, Cypress, CA 90630-5489 Ph: () -	Callaway Kennedy, OTR/L 11205 Knott Ave Ste E, Cypress, CA 90630-5489 Ph: (714) 893-7399

Reviews and Comments

Occupational Therapist in Cypress, CA

Kerrie Jane Gates, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11105 Knott Ave Ste A, Cypress, CA 90630 Phone: 714-893-7399
Emmanuel Clemente, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 10488 Santa Clara St, Cypress, CA 90630 Phone: 626-695-1694
Ga Hea Cho, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11105 Knott Ave, Suite A, Cypress, CA 90630 Phone: 714-893-7399 Fax: 714-893-7389
Jennifer Luong, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11205 Knott Ave Ste E, Cypress, CA 90630 Phone: 714-893-7399
Kayla Nishida Kwan, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11205 Knott Ave Ste E, Cypress, CA 90630 Phone: 714-893-7399 Fax: 714-893-7389
Dione Ann Mathew, OT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11105 Knott Ave, Suite A, Cypress, CA 90630 Phone: 714-893-7399 Fax: 714-893-7389
Alethia Fung, MA, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11205 Knott Ave Ste E, Cypress, CA 90630 Phone: 714-893-7399

Callaway Kennedy, OTR/L - Medicare Occupational Therapist in Cypress, CA