Kelly Ann Suttle, OTR/L - Medicare Occupational Therapist in Boiling Springs, SC

Kelly Ann Suttle, OTR/L is a medicare enrolled "Occupational Therapist" provider in Boiling Springs, South Carolina. Her current practice location is 110 Coal Creek Dr, Boiling Springs, South Carolina. You can reach out to her office (for appointments etc.) via phone at (727) 858-7452.

Kelly Ann Suttle is licensed to practice in South Carolina (license number 2957) 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 1215321740.

Contact Information

Kelly Ann Suttle, OTR/L
110 Coal Creek Dr,
Boiling Springs, SC 29316-7008
(727) 858-7452
Not Available



Healthcare Provider's Profile

Full NameKelly Ann Suttle
GenderFemale
SpecialityOccupational Therapist
Location110 Coal Creek Dr, Boiling Springs, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215321740
  • Provider Enumeration Date: 03/23/2015
  • Last Update Date: 03/23/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 9931559846
  • Enrollment ID: I20231219000632

Medical Identifiers

Medical identifiers for Kelly Ann Suttle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215321740NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 2957 (South Carolina)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. Kelly Ann Suttle allows following entities to bill medicare on her behalf.
Provider NameSenior Rehab Source
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1043464118
PECOS PAC ID: 0941363808
Enrollment ID: O20090120000574

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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. Kelly Ann Suttle 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
Kelly Ann Suttle, OTR/L
110 Coal Creek Dr,
Boiling Springs, SC 29316-7008

Ph: (727) 858-7452
Kelly Ann Suttle, OTR/L
110 Coal Creek Dr,
Boiling Springs, SC 29316-7008

Ph: (727) 858-7452

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Occupational Therapist in Boiling Springs, SC

Mariah Fuimaono,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 632 Turning Leaf Cir, Boiling Springs, SC 29316
Phone: 816-797-8354    
Mrs. Courtney Johnson Rhodes, MHS, OTR/L, C/NDT
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 905 Winslow Ct, Boiling Springs, SC 29316
Phone: 864-804-7959    Fax: 864-578-6220

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