Shannon Marie Kannally, OTR in Norfolk, MA - Medicare Occupational Therapist Provider

Shannon Marie Kannally, OTR is a medicare enrolled "Occupational Therapist" provider in Norfolk, Massachusetts. Her current practice location is 65 Holbrook St Ste 130, Norfolk, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 426-6491.

Shannon Marie Kannally is licensed to practice in Massachusetts (license number 15552) 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 1639994304.

Contact Information

	Shannon Marie Kannally, OTR
	65 Holbrook St Ste 130, Norfolk, MA 02056-1849
	(508) 426-6491
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shannon Marie Kannally
Gender	Female
Speciality	Occupational Therapist
Location	65 Holbrook St Ste 130, Norfolk, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639994304
Provider Enumeration Date: 11/18/2024
Last Update Date: 11/18/2024

Medicare PECOS Information:

PECOS PAC ID: 3274068127
Enrollment ID: I20241202000951

Medical Identifiers

Medical identifiers for Shannon Marie Kannally such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639994304	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	15552 (Massachusetts)	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. Shannon Marie Kannally allows following entities to bill medicare on her behalf.

Provider Name	Platinum Physical Therapy, Inc.
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1417010174 PECOS PAC ID: 5799686549 Enrollment ID: O20040901000756

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. Shannon Marie Kannally 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
Shannon Marie Kannally, OTR 160 Hickory Rd, Wrentham, MA 02093-1075 Ph: (508) 954-4612	Shannon Marie Kannally, OTR 65 Holbrook St Ste 130, Norfolk, MA 02056-1849 Ph: (508) 426-6491

Reviews and Comments

Occupational Therapist in Norfolk, MA

The Bina Farm Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 39 Miller St, Norfolk, MA 02056 Phone: 508-651-2462
Ms. Jessica Jean Kemble, BS, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 58 Main St, Norfolk, MA 02056 Phone: 508-954-6800
Ms. Margaret Singer, MSOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Timberline Dr, Norfolk, MA 02056 Phone: 508-446-4035
Mrs. Lauren Ann Love, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 28 Lafayette Ln, Norfolk, MA 02056 Phone: 508-384-3848
Elizabeth C Mitro, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 Willow Place, Norfolk, MA 02056 Phone: 508-346-3906
Mary A Nuhibian, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3 Knoll Dr, Norfolk, MA 02056 Phone: 508-528-5292

Shannon Marie Kannally, OTR - Medicare Occupational Therapist in Norfolk, MA