Kathleen Siobhan Evangelista, MS OTR/L - Medicare Occupational Therapist in West Orange, NJ

Kathleen Siobhan Evangelista, MS OTR/L is a medicare enrolled "Occupational Therapist" provider in West Orange, New Jersey. Her current practice location is 622 Eagle Rock Ave Ste 108, West Orange, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 669-0072.

Kathleen Siobhan Evangelista is licensed to practice in New Jersey (license number 46TR00559400) 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 1265778856.

Contact Information

Kathleen Siobhan Evangelista, MS OTR/L
622 Eagle Rock Ave Ste 108,
West Orange, NJ 07052-2994
(973) 669-0072
Not Available



Healthcare Provider's Profile

Full NameKathleen Siobhan Evangelista
GenderFemale
SpecialityOccupational Therapist
Location622 Eagle Rock Ave Ste 108, West Orange, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265778856
  • Provider Enumeration Date: 12/31/2012
  • Last Update Date: 01/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5890167688
  • Enrollment ID: I20230203000705

Medical Identifiers

Medical identifiers for Kathleen Siobhan Evangelista such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265778856NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 46TR00559400 (New Jersey)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. Kathleen Siobhan Evangelista allows following entities to bill medicare on her behalf.
Provider NameFox Rehabilitation Services Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1326092503
PECOS PAC ID: 0143133009
Enrollment ID: O20150303000554

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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. Kathleen Siobhan Evangelista 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 AddressPractice Location Address
Kathleen Siobhan Evangelista, MS OTR/L
3 Butler Ln,
West Milford, NJ 07480-1307

Ph: () -
Kathleen Siobhan Evangelista, MS OTR/L
622 Eagle Rock Ave Ste 108,
West Orange, NJ 07052-2994

Ph: (973) 669-0072

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Occupational Therapist in West Orange, NJ

Kevin Mukalel, OTD
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 563 Northfield Ave, West Orange, NJ 07052
Phone: 973-243-2060    
Alyssa Marie Attanasio, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1199 Pleasant Valley Way, West Orange, NJ 07052
Phone: 973-414-4755    
Rachel Dionna Portee,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1094 Smith Manor Blvd, West Orange, NJ 07052
Phone: 609-845-4776    
Julianne Couch, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1199 Pleasant Valley Way, West Orange, NJ 07052
Phone: 973-414-4755    
Mary Cabarle, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1199 Pleasant Valley Way, West Orange, NJ 07052
Phone: 973-414-4755    Fax: 973-243-6967
Syndi Lyn Granger, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1199 Pleasant Valley Way, West Orange, NJ 07052
Phone: 973-414-4755    
Katherine Mcguire, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1155 Pleasant Valley Way, West Orange, NJ 07052
Phone: 973-731-5100    

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