Katelyn Cantrell, is a medicare enrolled "Occupational Therapist" provider in Charleston, Tennessee. 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 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 1104693092.
Healthcare Provider's Profile
| Full Name | Katelyn Cantrell |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 136 Newport St Nw Apt B, Charleston, Tennessee |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
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 |
|---|
| 1104693092 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 7845 (Tennessee) | 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 Cantrell allows following entities to bill medicare on her behalf.
| Provider Name | Legacy Healthcare Services Inc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1306454558
PECOS PAC ID: 2163339722
Enrollment ID: O20200925002518 |
|---|
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 |
|---|
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 |
Reviews and Comments