Mrs Kelly Jean Squire-hamblet, MSOTR/L - Medicare Occupational Therapist in Las Vegas, NV

Mrs Kelly Jean Squire-hamblet, MSOTR/L is a medicare enrolled "Occupational Therapist" provider in Las Vegas, Nevada. Her current practice location is 5540 Azuza Ave, Las Vegas, Nevada. You can reach out to her office (for appointments etc.) via phone at (702) 348-9076.

Mrs Kelly Jean Squire-hamblet is licensed to practice in Nevada (license number 13-0346) 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 1003249046.

Contact Information

Mrs Kelly Jean Squire-hamblet, MSOTR/L
5540 Azuza Ave,
Las Vegas, NV 89122-7121
(702) 348-9076
Not Available



Healthcare Provider's Profile

Full NameMrs Kelly Jean Squire-hamblet
GenderFemale
SpecialityOccupational Therapist
Location5540 Azuza Ave, Las Vegas, Nevada
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003249046
  • Provider Enumeration Date: 08/13/2013
  • Last Update Date: 08/13/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 0840653572
  • Enrollment ID: I20230829002549

Medical Identifiers

Medical identifiers for Mrs Kelly Jean Squire-hamblet such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003249046NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 13-0346 (Nevada)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. Mrs Kelly Jean Squire-hamblet allows following entities to bill medicare on her behalf.
Provider NameWaterfall Clinic Incorporated
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1619915113
PECOS PAC ID: 5698740355
Enrollment ID: O20040827000153

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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. Mrs Kelly Jean Squire-hamblet 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
Mrs Kelly Jean Squire-hamblet, MSOTR/L
5540 Azuza Ave,
Las Vegas, NV 89122-7121

Ph: (702) 348-9076
Mrs Kelly Jean Squire-hamblet, MSOTR/L
5540 Azuza Ave,
Las Vegas, NV 89122-7121

Ph: (702) 348-9076

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Occupational Therapist
Medicare: Not Enrolled in Medicare
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Phone: 702-380-1060    Fax: 702-380-1081
Farah Michelle Westreich, OTR
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Medicare: Not Enrolled in Medicare
Practice Location: 8000 Spring Mountain Rd, 2116, Las Vegas, NV 89117
Phone: 954-253-3739    
Alicia Marie Schwarz, OTR
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Medicare: Not Enrolled in Medicare
Practice Location: 1525 E Windmill Ln, #202, Las Vegas, NV 89123
Phone: 702-434-6920    Fax: 702-361-8596
Geoffrey Shih, OT
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Phone: 702-468-8311    
Autism & Behavioral Consulting Services
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Medicare: Not Enrolled in Medicare
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Phone: 702-476-2633    Fax: 702-979-1028
Mrs. Jennifer C Travers, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3030 S Jones Blvd, Suite 105, Las Vegas, NV 89146
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