Kiley Melissa Waters, OTR in Glenview, IL - Medicare Occupational Therapist Provider

Kiley Melissa Waters, OTR is a medicare enrolled "Occupational Therapist" provider in Glenview, Illinois. Her current practice location is 2401 Indigo Ln, Glenview, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 904-4717.

Kiley Melissa Waters is licensed to practice in Illinois (license number 056.012388) 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 1164904892.

Contact Information

	Kiley Melissa Waters, OTR
	2401 Indigo Ln, Glenview, IL 60026-1299
	(847) 904-4717
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kiley Melissa Waters
Gender	Female
Speciality	Occupational Therapist
Location	2401 Indigo Ln, Glenview, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164904892
Provider Enumeration Date: 08/29/2018
Last Update Date: 05/11/2026

Medicare PECOS Information:

PECOS PAC ID: 8921426651
Enrollment ID: I20200914000225

Medical Identifiers

Medical identifiers for Kiley Melissa Waters such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164904892	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	056.012388 (Illinois)	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. Kiley Melissa Waters allows following entities to bill medicare on her behalf.

Provider Name	Fox Rehabilitation Services Il Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1114443462 PECOS PAC ID: 8224379763 Enrollment ID: O20190409003124

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. Kiley Melissa Waters 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
Kiley Melissa Waters, OTR 2401 Indigo Ln, Glenview, IL 60026-1299 Ph: (847) 904-4717	Kiley Melissa Waters, OTR 2401 Indigo Ln, Glenview, IL 60026-1299 Ph: (847) 904-4717

Reviews and Comments

Occupational Therapist in Glenview, IL

Mrs. Kimberly Sue Syregelas, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3707 West Lake Ave, Suite 200, Glenview, IL 60026 Phone: 847-998-1188
Mrs. Molly A Rutherford, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 3703 W Lake Ave Ste 200, Glenview, IL 60026 Phone: 847-998-1188
Rosanne S Schenk, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1500 Waukegan Rd, Suite 250, Glenview, IL 60025 Phone: 847-657-9445 Fax: 847-657-9450
Veronica Vandusen, COTA/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3703 W Lake Ave, Suite 200, Glenview, IL 60026 Phone: 847-998-1188
Laura Kate Manson, MSOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1308 Waukegan Rd, Suite 103, Glenview, IL 60025 Phone: 877-486-4140
Brooke Pfanz, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3703 W Lake Ave, Suite 200, Glenview, IL 60026 Phone: 847-998-1188
Selin Islamoglu, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3703 W Lake Ave, Suite 200, Glenview, IL 60026 Phone: 847-998-1188

Kiley Melissa Waters, OTR - Medicare Occupational Therapist in Glenview, IL