Kyle Kelley Buck, OTR in Minneapolis, MN - Medicare Occupational Therapist Provider

Kyle Kelley Buck, OTR is a medicare enrolled "Occupational Therapist - Neurorehabilitation" provider in Minneapolis, Minnesota. His current practice location is 800 E 28th St, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 863-4000.

Kyle Kelley Buck is licensed to practice in Minnesota (license number 106101) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1235760752.

Contact Information

	Kyle Kelley Buck, OTR
	800 E 28th St, Minneapolis, MN 55407-3723
	(612) 863-4000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kyle Kelley Buck
Gender	Male
Speciality	Occupational Therapist - Neurorehabilitation
Location	800 E 28th St, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235760752
Provider Enumeration Date: 02/03/2020
Last Update Date: 02/03/2020

Medicare PECOS Information:

PECOS PAC ID: 7012451016
Enrollment ID: I20240702000207

Medical Identifiers

Medical identifiers for Kyle Kelley Buck such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235760752	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225XN1300X	Occupational Therapist - Neurorehabilitation	106101 (Minnesota)	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. Kyle Kelley Buck allows following entities to bill medicare on his behalf.

Provider Name	Novacare Outpatient Rehabilitation East, Inc.
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1558610519 PECOS PAC ID: 3678480290 Enrollment ID: O20121228000194

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. Kyle Kelley Buck 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
Kyle Kelley Buck, OTR 2633 Pleasant Ave Apt 203, Minneapolis, MN 55408-1451 Ph: (507) 319-1903	Kyle Kelley Buck, OTR 800 E 28th St, Minneapolis, MN 55407-3723 Ph: (612) 863-4000

Reviews and Comments

Occupational Therapist in Minneapolis, MN

Taylor Peterson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-863-4000
Rachel Esther Hollister, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2450 Riverside Ave, Suite R102, Minneapolis, MN 55454 Phone: 612-273-9400
Ms. Theressa Agnes Burns, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Veterans Drive, Minneapolis, MN 55417 Phone: 612-467-3338 Fax: 612-725-2084
Sandra J Stevenson, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-863-4447 Fax: 612-863-4263
Ellissa A Kurk, PT, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2512 S 7th St, Minneapolis, MN 55454 Phone: 612-273-7100
Heather Christine Hunstad, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1910 5th St Ne, Minneapolis, MN 55418 Phone: 651-341-4055
Danielle Lauren Prince, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454 Phone: 612-273-8383

Kyle Kelley Buck, OTR - Medicare Occupational Therapist in Minneapolis, MN