Kandyce Moen, OTR - Medicare Occupational Therapist in Chisago City, MN

Kandyce Moen, OTR is a medicare enrolled "Occupational Therapist" provider in Chisago City, Minnesota. Her current practice location is 10069 Stacy Trl, Chisago City, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 689-5385.

Kandyce Moen is licensed to practice in Minnesota (license number 100563) 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 1295827590.

Contact Information

Kandyce Moen, OTR
10069 Stacy Trl,
Chisago City, MN 55013-9531
(763) 689-5385
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKandyce Moen
GenderFemale
SpecialityOccupational Therapist
Location10069 Stacy Trl, Chisago City, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295827590
  • Provider Enumeration Date: 09/28/2006
  • Last Update Date: 07/09/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 3274447198
  • Enrollment ID: I20150605000434

Medical Identifiers

Medical identifiers for Kandyce Moen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295827590NPI-NPPES
05G60MOOtherMNBCBS
HP45836OtherMNHEALTH PARTNERS
6402785OtherMNMEDICA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 100563 (Minnesota)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. Kandyce Moen allows following entities to bill medicare on her behalf.
Provider NameFunctional Integrated Therapy, Ltd
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1477640613
PECOS PAC ID: 9234189879
Enrollment ID: O20050131001036

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. Kandyce Moen 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
Kandyce Moen, OTR
10069 Stacy Trl,
Chisago City, MN 55013-9531

Ph: () -
Kandyce Moen, OTR
10069 Stacy Trl,
Chisago City, MN 55013-9531

Ph: (763) 689-5385

Reviews and Comments


Occupational Therapist in Chisago City, MN

Gabrielle Hoglund, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 28210 Old Towne Rd, Chisago City, MN 55013
Phone: 651-257-0575    

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.