Miss Jaclyn Marie Prendergast, OTR/L in Charleston, SC - Medicare Occupational Therapist Provider

Miss Jaclyn Marie Prendergast, OTR/L is a medicare enrolled "Occupational Therapist" provider in Charleston, South Carolina. Her current practice location is 1640 Ashley Hall Rd, Charleston, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 277-2411.

Miss Jaclyn Marie Prendergast is licensed to practice in South Carolina (license number 6306) 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 1134891682.

Contact Information

	Miss Jaclyn Marie Prendergast, OTR/L
	1640 Ashley Hall Rd, Charleston, SC 29407-3824
	(843) 277-2411
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Jaclyn Marie Prendergast
Gender	Female
Speciality	Occupational Therapist
Location	1640 Ashley Hall Rd, Charleston, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134891682
Provider Enumeration Date: 10/04/2021
Last Update Date: 10/04/2021

Medicare PECOS Information:

PECOS PAC ID: 8921476185
Enrollment ID: I20221118000609

Medical Identifiers

Medical identifiers for Miss Jaclyn Marie Prendergast such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134891682	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	6306 (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. Miss Jaclyn Marie Prendergast allows following entities to bill medicare on her behalf.

Provider Name	Charleston Ot Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1144679655 PECOS PAC ID: 7911327267 Enrollment ID: O20201026002602

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. Miss Jaclyn Marie Prendergast 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
Miss Jaclyn Marie Prendergast, OTR/L 58 Sunset Ter, Highland Mills, NY 10930-2638 Ph: (845) 774-6514	Miss Jaclyn Marie Prendergast, OTR/L 1640 Ashley Hall Rd, Charleston, SC 29407-3824 Ph: (843) 277-2411

Reviews and Comments

Occupational Therapist in Charleston, SC

Mr. Shawn Styles, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1941 Savage Road, Suite 400c, Charleston, SC 29407 Phone: 843-571-2700 Fax: 843-571-2124
Mira Kraft, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2230 Ashley Crossing Dr, Charleston, SC 29414 Phone: 843-766-5228
Mrs. Alysson Miller Goodwin, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 29 Race St, Charleston, SC 29403 Phone: 318-792-1696
Amanda Prester Beacham, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 45 Sycamore Ave Apt 917, Charleston, SC 29407 Phone: 843-900-6202 Fax: 843-574-8858
Mary Katherine Melroy, O.T.R. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 236 Confederate Cir, Charleston, SC 29407 Phone: 843-718-5898
Amanda Zoccolo, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 637 Highwood Cir, Charleston, SC 29412 Phone: 678-516-2709
Julia Gilkerson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 34 Colleton Dr, Charleston, SC 29407 Phone: 843-991-7709

Miss Jaclyn Marie Prendergast, OTR/L - Medicare Occupational Therapist in Charleston, SC