Mrs Carly Jean Carlisle, MOT, OTR/L - Medicare Occupational Therapist in Bethalto, IL

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Mrs Carly Jean Carlisle, MOT, OTR/L is a medicare enrolled "Occupational Therapist" provider in Bethalto, Illinois. Her current practice location is 120 Gabrielle Cir, Bethalto, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 593-2909.

Mrs Carly Jean Carlisle is licensed to practice in Illinois (license number 056011096) 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 1932634714.

Contact Information

Mrs Carly Jean Carlisle, MOT, OTR/L
120 Gabrielle Cir,
Bethalto, IL 62010-2594
(618) 593-2909
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Carly Jean Carlisle
GenderFemale
SpecialityOccupational Therapist
Location120 Gabrielle Cir, Bethalto, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1932634714
  • Provider Enumeration Date: 04/28/2017
  • Last Update Date: 04/28/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 7810423746
  • Enrollment ID: I20241216000685

Medical Identifiers

Medical identifiers for Mrs Carly Jean Carlisle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932634714NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 056011096 (Illinois)Primary
225X00000XOccupational Therapist 2015024426 (Missouri)Secondary

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. Mrs Carly Jean Carlisle allows following entities to bill medicare on her behalf.
Provider NameComprehensive Therapeutics Ltd
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1699094102
PECOS PAC ID: 8921230137
Enrollment ID: O20140422000663
Provider NameEmpowerme Rehabilitation Illinois Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1679098263
PECOS PAC ID: 2365718277
Enrollment ID: O20171020001353
Provider NameLegacy Healthcare Services Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1689141376
PECOS PAC ID: 2163339722
Enrollment ID: O20200427002510
Provider NameEmpowerme Wellness Kansas City Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1174118103
PECOS PAC ID: 9830504836
Enrollment ID: O20210317001954

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. Mrs Carly Jean Carlisle 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
Mrs Carly Jean Carlisle, MOT, OTR/L
120 Gabrielle Cir,
Bethalto, IL 62010-2594

Ph: (618) 593-2909		Mrs Carly Jean Carlisle, MOT, OTR/L
120 Gabrielle Cir,
Bethalto, IL 62010-2594

Ph: (618) 593-2909

Reviews and Comments


Occupational Therapist in Bethalto, IL

Danielle Marie Atwood, MOTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1008 2nd St, Bethalto, IL 62010
Phone: 618-581-2825    
Joseph B. Martin, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 335 Whispering Oaks Dr, Bethalto, IL 62010
Phone: 618-531-5985    Fax: 618-377-5882
Amy Lynn Griffith, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 173 Patton Dr, Bethalto, IL 62010
Phone: 618-377-6188    Fax: 618-377-6188

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.