Mrs Kristen Bernard, OTR/L is a medicare enrolled "Occupational Therapist" provider in Angola, Indiana. Her current practice location is
516 Williams St, Angola, Indiana. You can reach out to her office (for appointments etc.) via phone at
(260) 665-9467.
Mrs Kristen Bernard is licensed to practice in Indiana (license number 31008597A) 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 1114519212.
Healthcare Provider's Profile
| Full Name | Mrs Kristen Bernard |
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| Gender | Female |
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| Speciality | Occupational Therapist |
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| Location | 516 Williams St, Angola, Indiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1114519212
- Provider Enumeration Date: 02/09/2021
- Last Update Date: 08/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 8628474087
- Enrollment ID: I20210909002742
Medical Identifiers
Medical identifiers for Mrs Kristen Bernard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1114519212 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | OT009211 (Ohio) | Secondary |
| 225X00000X | Occupational Therapist | 31008597A (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 Kristen Bernard allows following entities to bill medicare on her behalf.
| Provider Name | Aegis Group Practice Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1093389751 PECOS PAC ID: 5193036432 Enrollment ID: O20210621000546 |
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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 Kristen Bernard 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 Kristen Bernard, OTR/L 908 Pristine Ave, Angola, IN 46703-6502 Ph: (740) 821-4491 | Mrs Kristen Bernard, OTR/L 516 Williams St, Angola, IN 46703-1144 Ph: (260) 665-9467 |
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