Ms Kellie Lea James, OTR/L is a medicare enrolled "Occupational Therapist" provider in Rebecca, Georgia. Her current practice location is
333 Zinnia Rd, Rebecca, Georgia. You can reach out to her office (for appointments etc.) via phone at
(941) 232-9161.
Ms Kellie Lea James is licensed to practice in Georgia (license number OT006201) 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 1194383836.
Healthcare Provider's Profile
| Full Name | Ms Kellie Lea James |
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| Gender | Female |
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| Speciality | Occupational Therapist |
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| Location | 333 Zinnia Rd, Rebecca, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1194383836
- Provider Enumeration Date: 05/29/2019
- Last Update Date: 05/29/2019
Medicare PECOS Information:
- PECOS PAC ID: 4486089943
- Enrollment ID: I20200110002620
Medical Identifiers
Medical identifiers for Ms Kellie Lea James such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1194383836 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | OT006201 (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. Ms Kellie Lea James allows following entities to bill medicare on her behalf.
| Provider Name | Functional Pathways Preferred Of Tennessee Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1841561446
PECOS PAC ID: 2860649654
Enrollment ID: O20150213001140 |
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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. Ms Kellie Lea James 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 Kellie Lea James, OTR/L
333 Zinnia Rd,
Rebecca, GA 31783-5021
Ph: (941) 232-9161 | Ms Kellie Lea James, OTR/L
333 Zinnia Rd,
Rebecca, GA 31783-5021
Ph: (941) 232-9161 |
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