Mrs Katie Marie Hollis, OTR/L in Valparaiso, IN - Medicare Occupational Therapist Provider

Mrs Katie Marie Hollis, OTR/L is a medicare enrolled "Occupational Therapist" provider in Valparaiso, Indiana. Her current practice location is 302 Andover Dr, Valparaiso, Indiana. You can reach out to her office (for appointments etc.) via phone at (513) 255-6378.

Mrs Katie Marie Hollis is licensed to practice in Indiana (license number 31005501A) 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 1033544978.

Contact Information

	Mrs Katie Marie Hollis, OTR/L
	302 Andover Dr, Valparaiso, IN 46383-1392
	(513) 255-6378
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Katie Marie Hollis
Gender	Female
Speciality	Occupational Therapist
Location	302 Andover Dr, Valparaiso, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033544978
Provider Enumeration Date: 09/11/2013
Last Update Date: 09/11/2013

Medicare PECOS Information:

PECOS PAC ID: 5193235349
Enrollment ID: I20250606003581

Medical Identifiers

Medical identifiers for Mrs Katie Marie Hollis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033544978	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	31005501A (Indiana)	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 Katie Marie Hollis allows following entities to bill medicare on her behalf.

Provider Name	Creative Health Care Management Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1902350457 PECOS PAC ID: 4385929892 Enrollment ID: O20170324001139

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 Katie Marie Hollis 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 Katie Marie Hollis, OTR/L 302 Andover Dr, Valparaiso, IN 46383-1392 Ph: (513) 255-6378	Mrs Katie Marie Hollis, OTR/L 302 Andover Dr, Valparaiso, IN 46383-1392 Ph: (513) 255-6378

Reviews and Comments

Occupational Therapist in Valparaiso, IN

Mrs. Gina Eich Peyton, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2801 Evans Ave, Valparaiso, IN 46383 Phone: 219-462-0786 Fax: 219-548-7543
Mrs. Bethann Fabugais, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1200 Roosevelt Pl Unit A, Valparaiso, IN 46383 Phone: 219-548-4663
Shena Nicole Radam Andaya, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2550 Morthland Dr, Valparaiso, IN 46385 Phone: 219-309-2550
Nicole Jefferson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1306 Baron Ct, Valparaiso, IN 46383 Phone: 219-315-7421
Mr. David Charles Downend, MS,OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2905 Black Partridge Ln Apt 12, Valparaiso, IN 46383 Phone: 260-494-7363
Miss Maren Johnson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 332 W 806 N, Valparaiso, IN 46385 Phone: 219-764-4888

Mrs Katie Marie Hollis, OTR/L - Medicare Occupational Therapist in Valparaiso, IN