Katelyn Cantrell, is a medicare enrolled "Occupational Therapist" provider in Charleston, Tennessee. She graduated from medical school in 2023 and has 2 years of diverse experience with area of expertise as Occupational Therapist In Private Practice. She is a member of the group practice Legacy Healthcare Services Inc and her current practice location is
136 Newport St Nw Apt B, Charleston, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(423) 506-5379.
Katelyn Cantrell is licensed to practice in Tennessee (license number 7845) 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 1104693092.
Healthcare Provider's Profile
| Full Name | Katelyn Cantrell |
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| Gender | Female |
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| Speciality | Occupational Therapist In Private Practice |
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| Experience | 2 Years |
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| Location | 136 Newport St Nw Apt B, Charleston, Tennessee |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Katelyn Cantrell graduated from medical school in 2023
NPI Data:
- NPI Number: 1104693092
- Provider Enumeration Date: 12/11/2023
- Last Update Date: 12/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 6608211271
- Enrollment ID: I20240305003382
Medical Identifiers
Medical identifiers for Katelyn Cantrell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104693092 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | 7845 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Legacy Healthcare Services Inc | 2163339722 | 3474 |
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 Cantrell allows following entities to bill medicare on her behalf.
| Provider Name | Legacy Healthcare Services Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1306454558
PECOS PAC ID: 2163339722
Enrollment ID: O20200925002518 |
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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 Cantrell 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 |
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Katelyn Cantrell,
136 Newport St Nw Apt B,
Charleston, TN 37310-6318
Ph: (423) 506-5379 | Katelyn Cantrell,
136 Newport St Nw Apt B,
Charleston, TN 37310-6318
Ph: (423) 506-5379 |
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