Kimberly Dyanne Gaudi, OTR in San Diego, CA - Medicare Occupational Therapy Provider

Kimberly Dyanne Gaudi, OTR is a medicare enrolled "Occupational Therapist" provider in San Diego, California. She graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Occupational Therapy. She is a member of the group practice Euclid Physical Therapy, Inc. and her current practice location is 4421 47th St, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 280-3200.

Kimberly Dyanne Gaudi is licensed to practice in California (license number 5071) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1124658729.

Contact Information

	Kimberly Dyanne Gaudi, OTR
	4421 47th St, San Diego, CA 92115-4516
	(619) 280-3200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly Dyanne Gaudi
Gender	Female
Speciality	Occupational Therapy
Experience	29 Years
Location	4421 47th St, San Diego, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kimberly Dyanne Gaudi graduated from medical school in 1995

NPI Data:

NPI Number: 1124658729
Provider Enumeration Date: 01/22/2020
Last Update Date: 01/22/2020

Medicare PECOS Information:

PECOS PAC ID: 7113355330
Enrollment ID: I20200320001933

Medical Identifiers

Medical identifiers for Kimberly Dyanne Gaudi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124658729	NPI	-	NPPES
5071	Other	CA	CA OT LICENSE
D2092568	Other	CA	CA DRIVER'S LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	5071 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Euclid Physical Therapy, Inc.	3577607068	2

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. Kimberly Dyanne Gaudi allows following entities to bill medicare on her behalf.

Provider Name	Euclid Physical Therapy, Inc.
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1871821918 PECOS PAC ID: 3577607068 Enrollment ID: O20100222000661

Provider Name	Mk Physical Therapy Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1659898559 PECOS PAC ID: 8022384619 Enrollment ID: O20171026001244

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. Kimberly Dyanne Gaudi 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
Kimberly Dyanne Gaudi, OTR 4421 47th St, San Diego, CA 92115-4516 Ph: (619) 280-3200	Kimberly Dyanne Gaudi, OTR 4421 47th St, San Diego, CA 92115-4516 Ph: (619) 280-3200

Reviews and Comments

Occupational Therapist in San Diego, CA

Ms. Brooke Hallie Redman, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8333 Clairemont Mesa Blvd, Suite 203, San Diego, CA 92111 Phone: 858-268-8585 Fax: 858-268-5729
Jaspreet Singh Basi, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 10635 Calle Mar De Mariposa Apt 5304, San Diego, CA 92130 Phone: 559-917-2421
Minnett Sharon Condor Arriesgado, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273
Jamie E Wahl, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 235 Market St Unit 210, San Diego, CA 92101 Phone: 303-710-2520
Ms. Margaret Ann Fuller, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15004 Innovation Dr, San Diego, CA 92128 Phone: 858-605-7189
Ms. Joan Marie Danford, O.T.R., C.P.R.P. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4525 Mission Gorge Pl, San Diego, CA 92120 Phone: 619-228-8003 Fax: 619-228-8030
Neena Eileen Bakshi, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8775 Aero Dr, Suite 238, San Diego, CA 92123 Phone: 858-571-0030

Kimberly Dyanne Gaudi, OTR - Medicare Occupational Therapist in San Diego, CA