Kelly Anne Crupper, MSOT, OTR/L in La Grange, KY - Medicare Occupational Therapist Provider

Kelly Anne Crupper, MSOT, OTR/L is a medicare enrolled "Occupational Therapist" provider in La Grange, Kentucky. Her current practice location is 4603 Timberwalk Ct, La Grange, Kentucky. You can reach out to her office (for appointments etc.) via phone at (703) 864-6695.

Kelly Anne Crupper is licensed to practice in Kentucky (license number 175140) 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 1700393501.

Contact Information

	Kelly Anne Crupper, MSOT, OTR/L
	4603 Timberwalk Ct, La Grange, KY 40031-6746
	(703) 864-6695
	(888) 830-3233

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Anne Crupper
Gender	Female
Speciality	Occupational Therapist
Location	4603 Timberwalk Ct, La Grange, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700393501
Provider Enumeration Date: 01/03/2018
Last Update Date: 04/14/2020

Medicare PECOS Information:

PECOS PAC ID: 7618320326
Enrollment ID: I20240130001150

Medical Identifiers

Medical identifiers for Kelly Anne Crupper such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700393501	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	175140 (Kentucky)	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. Kelly Anne Crupper allows following entities to bill medicare on her behalf.

Provider Name	Harbor House Of Louisville Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1689454811 PECOS PAC ID: 7416306840 Enrollment ID: O20231211003507

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. Kelly Anne Crupper 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
Kelly Anne Crupper, MSOT, OTR/L 113 Teal Ct, Shepherdsville, KY 40165-7346 Ph: (502) 710-1812	Kelly Anne Crupper, MSOT, OTR/L 4603 Timberwalk Ct, La Grange, KY 40031-6746 Ph: (703) 864-6695

Reviews and Comments

Occupational Therapist in La Grange, KY

Cynthia K Donner, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1204 Cedar Springs Pkwy, La Grange, KY 40031 Phone: 502-376-2536
Stcy Grieshaber, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1031 Shore Line Dr, La Grange, KY 40031 Phone: 502-727-9169
Macie Hale, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4603 Timberwalk Ct, La Grange, KY 40031 Phone: 703-575-8129
Morgan Profitt, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4603 Timberwalk Ct, La Grange, KY 40031 Phone: 703-864-6695 Fax: 888-830-3233
Brittany Amber Monroe, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2000 E Peak Rd, La Grange, KY 40031 Phone: 502-516-3176
Sidney Pickman, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4603 Timberwalk Ct, La Grange, KY 40031 Phone: 502-235-2428
Danielle Ball, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4603 Timberwalk Ct, La Grange, KY 40031 Phone: 703-575-8129

Kelly Anne Crupper, MSOT, OTR/L - Medicare Occupational Therapist in La Grange, KY