MRS. GWENDOLYN CHANTAL CALVERT OTR
NPI 1679997332
Occupational Therapist in San Angelo, TX

NPI Status: Active since February 14, 2014

Contact Information

3001 S JACKSON ST
SAN ANGELO, TX
ZIP 76904
Phone: (325) 223-6300

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Years of Experience 13
Occupational Therapist
Accepts Insurance
Accepts Medicare Approved Payment

About GWENDOLYN CALVERT

This page provides the complete NPI Profile along with additional information for Gwendolyn Calvert, a provider established in San Angelo, Texas with a medical specialization in Occupational Therapist and more than 13 years of experience. The healthcare provider is registered in the NPI registry with number 1679997332 assigned on February 2014. The practitioner's primary taxonomy code is 225X00000X with license number 115926 (TX). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI: 1679997332
Provider Name: MRS. GWENDOLYN CHANTAL CALVERT OTR
Gender: Female
Entity Type: Individual
Location Address: 3001 S JACKSON ST SAN ANGELO, TX 76904
Location Phone: (325) 223-6300
Mailing Address: 4601 HARTFORD ST ABILENE, TX 79605
Medical School Name: OTHER
Graduation Year: 2013
Is Sole Proprietor?: No
Enumeration Date: 02-14-2014
Last Update Date: 02-14-2014
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Occupational Therapist
Taxonomy Code: 225X00000X
Type: Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.: 115926
License State: TX
Taxonomy Description: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Baylor Scott and White Health Plan

BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
BSW Elite Gold HMO 004 (Two free PCP visits, $0 Pediatric PCP visits) - HMO
BSW Elite Gold HMO 012 - HMO
BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
BSW Prime Silver HMO 008 (Two free PCP visits, $0 Pediatric PCP visit) - HMO
BSW Prime Silver HMO 005 - HMO
BSW Savers Bronze HMO H S A 006 - HMO
BSW Vital Bronze HMO 007 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
BSW Vital Bronze HMO 009 (One free PCP visit, $0 Pediatric PCP visit) - HMO

Blue Cross and Blue Shield of Texas

Blue Advantage Bronze HMO? 204 - HMO
Blue Advantage Bronze HMO? 301 - HMO
Blue Advantage Bronze HMO? Standard - HMO
Blue Advantage Gold HMO? 206 - HMO
Blue Advantage Gold HMO? 603 - HMO
Blue Advantage Gold HMO? Standard - HMO
Blue Advantage Plus Bronze? 303 - POS
Blue Advantage Plus Bronze? 305 - POS
Blue Advantage Plus Bronze? Standard - POS
Blue Advantage Plus Gold? 203 - POS
Blue Advantage Plus Gold? 803 - POS
Blue Advantage Plus Gold? Standard - POS
Blue Advantage Plus Silver? 202 - POS
Blue Advantage Plus Silver? 605 - POS
Blue Advantage Plus Silver? Standard - POS
Blue Advantage Security HMO? 200 - HMO
Blue Advantage Silver HMO? 205 - HMO
Blue Advantage Silver HMO? 801 - HMO
Blue Advantage Silver HMO? Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Gwendolyn Calvert is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

PECOS PAC ID: 2264758895
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.
PECOS Enrollment ID: I20150226000260
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.
Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	6	7	9	9	9	7	3	3	2
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	6	14	9	18	9	14	3	6
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 4 + 9 + 1 + 8 + 9 + 1 + 4 + 3 + 6 + 24 = 78
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 78 = 2									2

The NPI number 1679997332 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

MRS. GINA KARR PT

Physical Therapist

3001 S JACKSON ST
SAN ANGELO, TX
ZIP 76904

About GWENDOLYN CALVERT

Location Map

Specialty - Primary Taxonomy

Occupational Therapist

Insurance Plans Accepted

Medicare Participation & PECOS Enrollment Status

PECOS PAC ID: 2264758895

PECOS Enrollment ID: I20150226000260

Accepts Medicare Assignment? Yes

Reviews for MRS. GWENDOLYN CHANTAL CALVERT OTR

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions