Kelly Destefano, in Cranbury, NJ - Medicare Occupational Therapist Provider

Kelly Destefano, is a medicare enrolled "Occupational Therapist" provider in Cranbury, New Jersey. Her current practice location is 61 Maplewood Ave, Cranbury, New Jersey. You can reach out to her office (for appointments etc.) via phone at (609) 395-3445.

Kelly Destefano is licensed to practice in New Jersey (license number 46TR00635400) 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 1598263931.

Contact Information

	Kelly Destefano,
	61 Maplewood Ave, Cranbury, NJ 08512-3237
	(609) 395-3445
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Destefano
Gender	Female
Speciality	Occupational Therapist
Location	61 Maplewood Ave, Cranbury, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598263931
Provider Enumeration Date: 01/31/2018
Last Update Date: 01/31/2018

Medicare PECOS Information:

PECOS PAC ID: 3375900772
Enrollment ID: I20230530002369

Medical Identifiers

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

Identifier	Type	State	Issuer
1598263931	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	46TR00635400 (New Jersey)	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 Destefano allows following entities to bill medicare on her behalf.

Provider Name	Homeside Rehab Pt Ot Slp Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1023258431 PECOS PAC ID: 7810045309 Enrollment ID: O20150506000300

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 Destefano 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 Destefano, 240 Evergreen Ave, Hamilton, NJ 08619-1808 Ph: () -	Kelly Destefano, 61 Maplewood Ave, Cranbury, NJ 08512-3237 Ph: (609) 395-3445

Reviews and Comments

Occupational Therapist in Cranbury, NJ

Jessica Siegel, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 61 Maplewood Ave, Cranbury, NJ 08512 Phone: 609-395-3445
Mrs. Lora Joy Sofield, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 61 Maplewood Ave, Cranbury, NJ 08512 Phone: 609-395-0641
Geeta Subramaniam, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 61 Maplewood Ave, Cranbury, NJ 08512 Phone: 609-395-3445
Ms. Bijal Mahendra Parikh, MOTR L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 61 Maplewood Avenue, Elms Of Cranbury, Cranbury, NJ 08512 Phone: 609-395-0641 Fax: 609-395-8200
Bharti Gupta, OCCUPATIONAL THERAPI Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 61 Maplewood Ave, Elms Of Cranbury, Cranbury, NJ 08512 Phone: 609-395-3445 Fax: 609-655-2052
Mrs. Shilpa P Desai, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 61 Maplewood Ave, Cranbury, NJ 08512 Phone: 609-395-0641

Kelly Destefano, - Medicare Occupational Therapist in Cranbury, NJ