Mrs Chyvonne Elizabeth Roach, OTR/L in Conyers, GA - Medicare Occupational Therapist Provider

Mrs Chyvonne Elizabeth Roach, OTR/L is a medicare enrolled "Occupational Therapist" provider in Conyers, Georgia. Her current practice location is 1504 Renaissance Dr Ne, Conyers, Georgia. You can reach out to her office (for appointments etc.) via phone at (470) 467-1100.

Mrs Chyvonne Elizabeth Roach is licensed to practice in Georgia (license number OT008428) 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 1558052217.

Contact Information

	Mrs Chyvonne Elizabeth Roach, OTR/L
	1504 Renaissance Dr Ne, Conyers, GA 30012-3895
	(470) 467-1100
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Chyvonne Elizabeth Roach
Gender	Female
Speciality	Occupational Therapist
Location	1504 Renaissance Dr Ne, Conyers, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558052217
Provider Enumeration Date: 05/15/2023
Last Update Date: 05/15/2023

Medicare PECOS Information:

PECOS PAC ID: 3072979756
Enrollment ID: I20230523001177

Medical Identifiers

Medical identifiers for Mrs Chyvonne Elizabeth Roach such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558052217	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT008428 (Georgia)	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. Mrs Chyvonne Elizabeth Roach allows following entities to bill medicare on her behalf.

Provider Name	Empowerme Rehabilitation Georgia, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1952934374 PECOS PAC ID: 4284063835 Enrollment ID: O20200401003230

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 Chyvonne Elizabeth Roach 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
Mrs Chyvonne Elizabeth Roach, OTR/L 565 Clearbrook Dr, Covington, GA 30016-9133 Ph: (917) 754-0010	Mrs Chyvonne Elizabeth Roach, OTR/L 1504 Renaissance Dr Ne, Conyers, GA 30012-3895 Ph: (470) 467-1100

Reviews and Comments

Occupational Therapist in Conyers, GA

Mrs. Latricia Lashane Williams, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1504 Renaissance Dr Ne, Conyers, GA 30012 Phone: 404-421-2570
Courtney Mills, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1603 Highway 20 Ne, Suite 201, Conyers, GA 30012 Phone: 770-919-8411 Fax: 770-919-1419
Progress Village Pediatric Therapy Services Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2949 Sonecrest Pt, Conyers, GA 30094 Phone: 404-932-3440 Fax: 770-483-3955
Kendra Wade, OTR/L Occupational Therapist Medicare: May Accept Medicare Assignments Practice Location: 1564 Callaway Loop, Conyers, GA 30012 Phone: 404-438-2671
Mr. John Terrence Lewis Ii, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2305 Red Maple Ct Se, Conyers, GA 30013 Phone: 678-549-1487
Charles Edward Berstecher, OTR/L, ATP, CAPS Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2135 Teri Ln Se, Conyers, GA 30013 Phone: 404-921-8363
Camille Mckenzie, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2395 Wall St Se Ste 290, Conyers, GA 30013 Phone: 470-725-2509

Mrs Chyvonne Elizabeth Roach, OTR/L - Medicare Occupational Therapist in Conyers, GA