Kayla Marie Tubergen, OTD, OTR/L in Holly, MI - Medicare Occupational Therapist Provider

Kayla Marie Tubergen, OTD, OTR/L is a medicare enrolled "Occupational Therapist" provider in Holly, Michigan. Her current practice location is 10483 Dixie Hwy, Holly, Michigan. You can reach out to her office (for appointments etc.) via phone at (810) 771-7686.

Kayla Marie Tubergen is licensed to practice in Michigan (license number 5201013715) 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 1730607896.

Contact Information

	Kayla Marie Tubergen, OTD, OTR/L
	10483 Dixie Hwy, Holly, MI 48442-9311
	(810) 771-7686
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kayla Marie Tubergen
Gender	Female
Speciality	Occupational Therapist
Location	10483 Dixie Hwy, Holly, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730607896
Provider Enumeration Date: 09/08/2017
Last Update Date: 09/11/2025

Medicare PECOS Information:

PECOS PAC ID: 8426492091
Enrollment ID: I20240222001472

Medical Identifiers

Medical identifiers for Kayla Marie Tubergen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730607896	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	5201013715 (Michigan)	Primary
3747P1801X	Technician - Personal Care Attendant	(* (Not Available))	Secondary

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. Kayla Marie Tubergen allows following entities to bill medicare on her behalf.

Provider Name	Max Well Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1871544577 PECOS PAC ID: 7113825670 Enrollment ID: O20031222000771

Provider Name	Level 11 Physical Therapy
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1730317785 PECOS PAC ID: 8527104835 Enrollment ID: O20100422000188

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. Kayla Marie Tubergen 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
Kayla Marie Tubergen, OTD, OTR/L 10483 Dixie Hwy, Holly, MI 48442-9311 Ph: (810) 771-7686	Kayla Marie Tubergen, OTD, OTR/L 10483 Dixie Hwy, Holly, MI 48442-9311 Ph: (810) 771-7686

Reviews and Comments

Occupational Therapist in Holly, MI

Cheryl Lynn Grava, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 10293 Dixie Hwy, Suite O, Holly, MI 48442 Phone: 810-771-7685 Fax: 810-771-7686
Kelly Christine Stepanski, OTRL Occupational Therapist Medicare: Medicare Enrolled Practice Location: 15242 Weller Ct, Holly, MI 48442 Phone: 810-626-3953
Kaitlyn Landess, OTD, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 10483 Dixie Hwy, Holly, MI 48442 Phone: 810-771-7686
Megan Antaya Budden, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 10483 Dixie Hwy, Holly, MI 48442 Phone: 810-498-2301
Gina Marie Mceachern, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10489 Tamryn Blvd, Holly, MI 48442 Phone: 248-328-0171
Nancy Sebring-cale, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5271 Chelsea Dr, Holly, MI 48442 Phone: 248-830-6872
Amy Jacobs, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 10293 S Saginaw Rd, Holly, MI 48442 Phone: 810-771-7686

Kayla Marie Tubergen, OTD, OTR/L - Medicare Occupational Therapist in Holly, MI