Mrs Chyvonne Elizabeth Roach, OTR/L - Medicare Occupational Therapist in Conyers, GA

Mrs Chyvonne Elizabeth Roach, OTR/L is a medicare enrolled "Occupational Therapist" provider in Conyers, Georgia. Her current practice location is 1504 Renaissance Dr Ne, Conyers, Georgia. You can reach out to her office (for appointments etc.) via phone at (470) 467-1100.

Mrs Chyvonne Elizabeth Roach is licensed to practice in Georgia (license number OT008428) 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 1558052217.

Contact Information

Mrs Chyvonne Elizabeth Roach, OTR/L
1504 Renaissance Dr Ne,
Conyers, GA 30012-3895
(470) 467-1100
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Chyvonne Elizabeth Roach
GenderFemale
SpecialityOccupational Therapist
Location1504 Renaissance Dr Ne, Conyers, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1558052217
  • Provider Enumeration Date: 05/15/2023
  • Last Update Date: 05/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3072979756
  • Enrollment ID: I20230523001177

Medical Identifiers

Medical identifiers for Mrs Chyvonne Elizabeth Roach such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558052217NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist OT008428 (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. Mrs Chyvonne Elizabeth Roach allows following entities to bill medicare on her behalf.
Provider NameEmpowerme Rehabilitation Georgia, Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1952934374
PECOS PAC ID: 4284063835
Enrollment ID: O20200401003230

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 Chyvonne Elizabeth Roach 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 AddressPractice Location Address
Mrs Chyvonne Elizabeth Roach, OTR/L
565 Clearbrook Dr,
Covington, GA 30016-9133

Ph: (917) 754-0010
Mrs Chyvonne Elizabeth Roach, OTR/L
1504 Renaissance Dr Ne,
Conyers, GA 30012-3895

Ph: (470) 467-1100

Reviews and Comments


Occupational Therapist in Conyers, GA

Mrs. Latricia Lashane Williams, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1504 Renaissance Dr Ne, Conyers, GA 30012
Phone: 404-421-2570    
Courtney Mills, OT
Occupational Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1603 Highway 20 Ne, Suite 201, Conyers, GA 30012
Phone: 770-919-8411    Fax: 770-919-1419
Progress Village Pediatric Therapy Services
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2949 Sonecrest Pt, Conyers, GA 30094
Phone: 404-932-3440    Fax: 770-483-3955
Kendra Wade, OTR/L
Occupational Therapist
Medicare: May Accept Medicare Assignments
Practice Location: 1564 Callaway Loop, Conyers, GA 30012
Phone: 404-438-2671    
Mr. John Terrence Lewis Ii, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2305 Red Maple Ct Se, Conyers, GA 30013
Phone: 678-549-1487    
Charles Edward Berstecher, OTR/L, ATP, CAPS
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2135 Teri Ln Se, Conyers, GA 30013
Phone: 404-921-8363    
Camille Mckenzie,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2395 Wall St Se Ste 290, Conyers, GA 30013
Phone: 470-725-2509    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.