Kelly Renee Peterson, OTR/L is a medicare enrolled "Occupational Therapist" provider in Chariton, Iowa. Her current practice location is
1200 N 7th St, Chariton, Iowa. You can reach out to her office (for appointments etc.) via phone at
(641) 774-3000.
Kelly Renee Peterson is licensed to practice in Iowa (license number 01298) 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 1467682070.
Healthcare Provider's Profile
Full Name | Kelly Renee Peterson |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 1200 N 7th St, Chariton, Iowa |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1467682070
- Provider Enumeration Date: 07/16/2009
- Last Update Date: 07/16/2009
Medicare PECOS Information:
- PECOS PAC ID: 8123458288
- Enrollment ID: I20200414001464
Medical Identifiers
Medical identifiers for Kelly Renee Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467682070 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 01298 (Iowa) | 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 Renee Peterson allows following entities to bill medicare on her behalf.
Provider Name | Marengo Memorial Hospital |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1053368191 PECOS PAC ID: 0749199446 Enrollment ID: O20040318000643 |
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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. Kelly Renee Peterson 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 Renee Peterson, OTR/L 1200 N 7th St, Chariton, IA 50049-1210 Ph: (641) 774-3000 | Kelly Renee Peterson, OTR/L 1200 N 7th St, Chariton, IA 50049-1210 Ph: (641) 774-3000 |
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