Kristal Pettengill, OTR-L - Medicare Occupational Therapist in Farmington, ME

Kristal Pettengill, OTR-L is a medicare enrolled "Occupational Therapist" provider in Farmington, Maine. Her current practice location is 111 Franklin Health Cmns, Farmington, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 779-2620.

Kristal Pettengill is licensed to practice in Maine (license number OT2647) 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 1396305975.

Contact Information

Kristal Pettengill, OTR-L
111 Franklin Health Cmns,
Farmington, ME 04938-6144
(207) 779-2620
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKristal Pettengill
GenderFemale
SpecialityOccupational Therapist
Location111 Franklin Health Cmns, Farmington, Maine
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396305975
  • Provider Enumeration Date: 06/17/2019
  • Last Update Date: 06/17/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2668849746
  • Enrollment ID: I20221102001135

Medical Identifiers

Medical identifiers for Kristal Pettengill such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396305975NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist OT2647 (Maine)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. Kristal Pettengill allows following entities to bill medicare on her behalf.
Provider NameBridgton Hospital
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1154370153
PECOS PAC ID: 8123919099
Enrollment ID: O20040322000534
Provider NameCentral Maine Medical Center
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1689653487
PECOS PAC ID: 2567379563
Enrollment ID: O20040324000441
Provider NameRumford Hospital
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1205991122
PECOS PAC ID: 3870583511
Enrollment ID: O20040514000890

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. Kristal Pettengill 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 AddressPractice Location Address
Kristal Pettengill, OTR-L
111 Franklin Health Cmns,
Farmington, ME 04938-6144

Ph: (207) 779-2620
Kristal Pettengill, OTR-L
111 Franklin Health Cmns,
Farmington, ME 04938-6144

Ph: (207) 779-2620

Reviews and Comments


Occupational Therapist in Farmington, ME

Paula Despres, MSOT, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 111 Franklin Health Cmns, Farmington, ME 04938
Phone: 207-778-6031    
Lacey Beth Cormier, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 119 Livermore Falls Rd, Farmington, ME 04938
Phone: 207-778-6591    
Alice L Vanderwerken, OT
Occupational Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 128 Middle St, Farmington, ME 04938
Phone: 207-778-6469    Fax: 207-778-3486
Courtney Pride,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 111 Franklin Health Cmns, Farmington, ME 04938
Phone: 207-779-2620    
Gwendolyn J Duren, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 119 Livermore Falls Rd, Farmington, ME 04938
Phone: 207-778-6591    Fax: 207-778-4245
Mrs. Erin Ellen Peters, MOTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 115 Learning Ln, Farmington, ME 04938
Phone: 207-778-9517    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.