Kayla Kelley, OTR is a medicare enrolled "Occupational Therapist - Pediatrics" provider in Nolanville, Texas. She graduated from medical school in 2012 and has 14 years of diverse experience with area of expertise as Occupational Therapist In Private Practice. She is a member of the group practice Legacy Beach Therapies Llc and her current practice location is
202 N Main St, Nolanville, Texas. You can reach out to her office (for appointments etc.) via phone at
(254) 393-0081.
Kayla Kelley is licensed to practice in Texas (license number 114857) 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 1477815470.
Healthcare Provider's Profile
| Full Name | Kayla Kelley |
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| Gender | Female |
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| Speciality | Occupational Therapist In Private Practice |
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| Experience | 14 Years |
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| Location | 202 N Main St, Nolanville, Texas |
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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:
- Kayla Kelley graduated from medical school in 2012
NPI Data:
- NPI Number: 1477815470
- Provider Enumeration Date: 06/14/2012
- Last Update Date: 05/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 5092138263
- Enrollment ID: I20200706003057
Medical Identifiers
Medical identifiers for Kayla Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1477815470 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225XP0200X | Occupational Therapist - Pediatrics | 114857 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Legacy Beach Therapies Llc | 0941666770 | 2 |
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 Kelley allows following entities to bill medicare on her behalf.
| Provider Name | Cen-tex Rehabilitation Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1578811154
PECOS PAC ID: 7517110125
Enrollment ID: O20130110000246 |
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| Provider Name | Legacy Beach Therapies Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1417664541
PECOS PAC ID: 0941666770
Enrollment ID: O20230519001480 |
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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. Kayla Kelley 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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Kayla Kelley, OTR
202 N Main St,
Nolanville, TX 76559-4349
Ph: (254) 393-0081 | Kayla Kelley, OTR
202 N Main St,
Nolanville, TX 76559-4349
Ph: (254) 393-0081 |
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