Katelyn Ann White, OTR/L in Bloomington, IL - Medicare Occupational Therapist Provider

Katelyn Ann White, OTR/L is a medicare enrolled "Occupational Therapist" provider in Bloomington, Illinois. Her current practice location is 1111 Trinity Ln Ste 111, Bloomington, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 608-5100.

Katelyn Ann White is licensed to practice in Illinois (license number 056011136) 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 1124847520.

Contact Information

	Katelyn Ann White, OTR/L
	1111 Trinity Ln Ste 111, Bloomington, IL 61704-8112
	(309) 608-5100
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Katelyn Ann White
Gender	Female
Speciality	Occupational Therapist
Location	1111 Trinity Ln Ste 111, Bloomington, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124847520
Provider Enumeration Date: 10/03/2024
Last Update Date: 01/23/2025

Medicare PECOS Information:

PECOS PAC ID: 0547799728
Enrollment ID: I20250203001510

Medical Identifiers

Medical identifiers for Katelyn Ann White such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124847520	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	056011136 (Illinois)	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. Katelyn Ann White allows following entities to bill medicare on her behalf.

Provider Name	Carle West Physician Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147

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. Katelyn Ann White 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
Katelyn Ann White, OTR/L 1170 Lynx Ln, Normal, IL 61761-9389 Ph: (309) 310-3931	Katelyn Ann White, OTR/L 1111 Trinity Ln Ste 111, Bloomington, IL 61704-8112 Ph: (309) 608-5100

Reviews and Comments

Occupational Therapist in Bloomington, IL

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Krista Elisabeth Bajjalieh, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2200 E Washington St, Bloomington, IL 61701 Phone: 309-662-3311
Bailey Wilson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2200 E Washington St, Bloomington, IL 61701 Phone: 309-661-6275
Cynthia Johnson, OTR/L, CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2200 East Washington St, Bloomington, IL 61701 Phone: 309-662-3311
Ms. Nicholle Leigh Eisfelder, MS,OT/L,CHT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1111 Trinity Lane, Suite 111, Bloomington, IL 61704 Phone: 309-663-6461 Fax: 309-663-5711
Ms. Amy Lynn Nelson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3420

Katelyn Ann White, OTR/L - Medicare Occupational Therapist in Bloomington, IL