Kanna Shepherd, LOTR - Medicare Occupational Therapist in Albuquerque, NM

Kanna Shepherd, LOTR is a medicare enrolled "Occupational Therapist" provider in Albuquerque, New Mexico. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Occupational Therapy. She is a member of the group practice Functional Transformation Llc and her current practice location is 4701 Montgomery Blvd Ne, Albuquerque, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 727-7800.

Kanna Shepherd is licensed to practice in Louisiana (license number 200683) 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 1376109181.

Contact Information

Kanna Shepherd, LOTR
4701 Montgomery Blvd Ne,
Albuquerque, NM 87109-1219
(505) 727-7800
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKanna Shepherd
GenderFemale
SpecialityOccupational Therapy
Experience11 Years
Location4701 Montgomery Blvd Ne, Albuquerque, New Mexico
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kanna Shepherd graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1376109181
  • Provider Enumeration Date: 05/16/2019
  • Last Update Date: 05/16/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9133517188
  • Enrollment ID: I20211025003204

Medical Identifiers

Medical identifiers for Kanna Shepherd such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376109181NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 200683 (Louisiana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Functional Transformation Llc28608620673

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. Kanna Shepherd allows following entities to bill medicare on her behalf.
Provider NameJames Ferrara Lymphedema Therapist Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1932707643
PECOS PAC ID: 9234559881
Enrollment ID: O20201020001690
Provider NameFunctional Transformation Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1013633031
PECOS PAC ID: 2860862067
Enrollment ID: O20230104002399

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. Kanna Shepherd 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
Kanna Shepherd, LOTR
Po Box 654,
Lake Providence, LA 71254-0654

Ph: () -
Kanna Shepherd, LOTR
4701 Montgomery Blvd Ne,
Albuquerque, NM 87109-1219

Ph: (505) 727-7800

Reviews and Comments


Occupational Therapist in Albuquerque, NM

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Rebecca S Starrett, OT
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Action Works
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Phone: 505-247-1012    

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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.

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