Keanne Alysse Prollamante, OTD, OTR/L in Henderson, NV - Medicare Occupational Therapist Provider

Keanne Alysse Prollamante, OTD, OTR/L is a medicare enrolled "Occupational Therapist" provider in Henderson, Nevada. Her current practice location is 2401 W Horizon Ridge Pkwy Ste 100, Henderson, Nevada. You can reach out to her office (for appointments etc.) via phone at (702) 458-1300.

Keanne Alysse Prollamante is licensed to practice in * (Not Available) (license number ) 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 1255156782.

Contact Information

	Keanne Alysse Prollamante, OTD, OTR/L
	2401 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89052-2707
	(702) 458-1300
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Keanne Alysse Prollamante
Gender	Female
Speciality	Occupational Therapist
Location	2401 W Horizon Ridge Pkwy Ste 100, Henderson, Nevada
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255156782
Provider Enumeration Date: 11/19/2024
Last Update Date: 11/19/2024

Medicare PECOS Information:

PECOS PAC ID: 4789110883
Enrollment ID: I20241212002932

Medical Identifiers

Medical identifiers for Keanne Alysse Prollamante such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255156782	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	(* (Not Available))	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. Keanne Alysse Prollamante allows following entities to bill medicare on her behalf.

Provider Name	Affiliated Physical Therapy
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1669607156 PECOS PAC ID: 1951453075 Enrollment ID: O20090720000524

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. Keanne Alysse Prollamante 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
Keanne Alysse Prollamante, OTD, OTR/L 11215 Gammila Dr, Las Vegas, NV 89141-0435 Ph: (702) 378-6741	Keanne Alysse Prollamante, OTD, OTR/L 2401 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89052-2707 Ph: (702) 458-1300

Reviews and Comments

Occupational Therapist in Henderson, NV

Jahana Diiorio, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1176 Wigwam Pkwy, Henderson, NV 89074 Phone: 718-300-1331
Kayla Cosgrove, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2850 W Horizon Ridge Pkwy Ste 320, Henderson, NV 89052 Phone: 702-564-4116 Fax: 702-932-2403
Ms. June Marie Acompanado, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 969 Via Arenula St, Henderson, NV 89052 Phone: 702-883-6542 Fax: 702-837-4890
Ren Montgomery Gilleo, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9011 Sierra Palms Way, Henderson, NV 89074 Phone: 702-227-4477
Tyler Trees, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2401 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89052 Phone: 702-458-1300
Christen Leach, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2460 Kaymin Ridge Rd, Henderson, NV 89052 Phone: 702-371-3994
Rebecca Hecht, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1781 Clear River Falls Ln, Henderson, NV 89012 Phone: 443-791-4739

Keanne Alysse Prollamante, OTD, OTR/L - Medicare Occupational Therapist in Henderson, NV