Ms Carla Jo Fenna, OTRL is a medicare enrolled "Occupational Therapist" provider in Poplar Grove, Illinois. She graduated from medical school in 1994 and has 32 years of diverse experience with area of expertise as Occupational Therapist In Private Practice. Her current practice location is
402 Jayde Place, Poplar Grove, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 765-2715.
Ms Carla Jo Fenna is licensed to practice in Illinois (license number ) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1609987395.
Healthcare Provider's Profile
| Full Name | Ms Carla Jo Fenna |
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| Gender | Female |
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| Speciality | Occupational Therapist In Private Practice |
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| Experience | 32 Years |
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| Location | 402 Jayde Place, Poplar Grove, Illinois |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Carla Jo Fenna graduated from medical school in 1994
NPI Data:
- NPI Number: 1609987395
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2668980921
- Enrollment ID: I20250806002634
Medical Identifiers
Medical identifiers for Ms Carla Jo Fenna such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609987395 | NPI | - | NPPES |
| CF02520398P | Other | IL | EARLY INTERVENTION |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | (Illinois) | Primary |
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. Ms Carla Jo Fenna 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 |
|---|
Ms Carla Jo Fenna, OTRL
402 Jayde Place,
Poplar Grove, IL 61065-8314
Ph: (815) 765-2715 | Ms Carla Jo Fenna, OTRL
402 Jayde Place,
Poplar Grove, IL 61065-8314
Ph: (815) 765-2715 |
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