Kelsey Wallace, OTR/L in Zeeland, MI - Medicare Occupational Therapist Provider

Kelsey Wallace, OTR/L is a medicare enrolled "Occupational Therapist" provider in Zeeland, Michigan. Her current practice location is 10263 Chicago Dr, Zeeland, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 741-9320.

Kelsey Wallace is licensed to practice in Michigan (license number 5201013676) 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 1518739770.

Contact Information

	Kelsey Wallace, OTR/L
	10263 Chicago Dr, Zeeland, MI 49464-1416
	(616) 741-9320
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelsey Wallace
Gender	Female
Speciality	Occupational Therapist
Location	10263 Chicago Dr, Zeeland, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518739770
Provider Enumeration Date: 10/23/2023
Last Update Date: 10/23/2023

Medicare PECOS Information:

PECOS PAC ID: 2769832013
Enrollment ID: I20231228001806

Medical Identifiers

Medical identifiers for Kelsey Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518739770	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	5201013676 (Michigan)	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. Kelsey Wallace allows following entities to bill medicare on her behalf.

Provider Name	Engage Therapy Center Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1679125744 PECOS PAC ID: 5698005494 Enrollment ID: O20190920001969

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. Kelsey Wallace 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
Kelsey Wallace, OTR/L 10263 Chicago Dr, Zeeland, MI 49464-1416 Ph: () -	Kelsey Wallace, OTR/L 10263 Chicago Dr, Zeeland, MI 49464-1416 Ph: (616) 741-9320

Reviews and Comments

Occupational Therapist in Zeeland, MI

Nora Saenz, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8333 Felch St Ste 101, Zeeland, MI 49464 Phone: 616-772-5795 Fax: 616-741-5622
Mrs. Kelsey Lehman, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10263 Chicago Dr, Zeeland, MI 49464 Phone: 616-741-9320 Fax: 616-741-9321
Jackie Lynn Hudson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8333 Felch St, Zeeland, MI 49464 Phone: 616-772-5793
Kayla Thomas, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10263 Chicago Dr, Zeeland, MI 49464 Phone: 616-741-9320
Mrs. Carissa Ann Morton, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 285 N State St, Zeeland, MI 49464 Phone: 616-772-4641
Mr. Geffery James Maurits, MOT, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2493 Black Brook Dr, Zeeland, MI 49464 Phone: 616-510-0473
Laurie K Depas, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8333 Felch St, Zeeland, MI 49464 Phone: 616-748-7520

Kelsey Wallace, OTR/L - Medicare Occupational Therapist in Zeeland, MI