Cavenaugh Kelly, OT in Bangor, ME - Medicare Occupational Therapist Provider

Cavenaugh Kelly, OT is a medicare enrolled "Occupational Therapist" provider in Bangor, Maine. His current practice location is 1048 Union St Ste 5, Bangor, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 945-5247.

Cavenaugh Kelly is licensed to practice in Maine (license number OT1042) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1730282831.

Contact Information

	Cavenaugh Kelly, OT
	1048 Union St Ste 5, Bangor, ME 04401-8601
	(207) 945-5247
	(207) 992-2154

Map and Direction

Healthcare Provider's Profile

Full Name	Cavenaugh Kelly
Gender	Male
Speciality	Occupational Therapist
Location	1048 Union St Ste 5, Bangor, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730282831
Provider Enumeration Date: 09/06/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9830197995
Enrollment ID: I20061128000166

Medical Identifiers

Medical identifiers for Cavenaugh Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730282831	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT1042 (Maine)	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. Cavenaugh Kelly allows following entities to bill medicare on his behalf.

Provider Name	Mps Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1851902720 PECOS PAC ID: 4385063619 Enrollment ID: O20201006000837

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. Cavenaugh Kelly 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
Cavenaugh Kelly, OT 1048 Union St Ste 5, Bangor, ME 04401-8601 Ph: (207) 945-5247	Cavenaugh Kelly, OT 1048 Union St Ste 5, Bangor, ME 04401-8601 Ph: (207) 945-5247

Reviews and Comments

Occupational Therapist in Bangor, ME

Courtney L St.pierre, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 335 Stillwater Ave, Bangor, ME 04401 Phone: 207-947-7605
Alena Ayotte, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 268 Stillwater Ave, Bangor, ME 04401 Phone: 207-973-6100
Katie A Wiggin, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 890 Hammond St, Bangor, ME 04401 Phone: 207-992-4042 Fax: 207-992-4043
Alexandra Gardiner, MS Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 28 Gilman Plz, Bangor, ME 04401 Phone: 207-990-0162
Katherine Dionne, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 268 Stillwater Ave, Bangor, ME 04401 Phone: 207-973-6100
Mr. Harland Thomas Grant Iii, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Cumberland Pl Ste 108, Bangor, ME 04401 Phone: 207-990-9000 Fax: 207-945-8645
Renee D. Morin, M.S., OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 28 Gilman Plaza, C/o Watch Me Shine, Inc., Bangor, ME 04401 Phone: 207-990-0162 Fax: 207-990-0163

Cavenaugh Kelly, OT - Medicare Occupational Therapist in Bangor, ME