Gianna Marie Jacullo, OTR/L in Little River, SC - Medicare Occupational Therapist Provider

Gianna Marie Jacullo, OTR/L is a medicare enrolled "Occupational Therapist" provider in Little River, South Carolina. Her current practice location is 1110 Heather Glen Blvd, Little River, South Carolina. You can reach out to her office (for appointments etc.) via phone at (631) 708-7913.

Gianna Marie Jacullo is licensed to practice in South Carolina (license number 7159) 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 1841045119.

Contact Information

	Gianna Marie Jacullo, OTR/L
	1110 Heather Glen Blvd, Little River, SC 29566-5947
	(631) 708-7913
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Gianna Marie Jacullo
Gender	Female
Speciality	Occupational Therapist
Location	1110 Heather Glen Blvd, Little River, 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: 1841045119
Provider Enumeration Date: 04/20/2024
Last Update Date: 04/20/2024

Medicare PECOS Information:

PECOS PAC ID: 4587184155
Enrollment ID: I20250226001149

Medical Identifiers

Medical identifiers for Gianna Marie Jacullo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841045119	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	7159 (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. Gianna Marie Jacullo allows following entities to bill medicare on her behalf.

Provider Name	Legacy Healthcare Services Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1366063000 PECOS PAC ID: 2163339722 Enrollment ID: O20200629001631

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. Gianna Marie Jacullo 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
Gianna Marie Jacullo, OTR/L 1110 Heather Glen Blvd, Little River, SC 29566-5947 Ph: (631) 708-7913	Gianna Marie Jacullo, OTR/L 1110 Heather Glen Blvd, Little River, SC 29566-5947 Ph: (631) 708-7913

Reviews and Comments

Occupational Therapist in Little River, SC

Mrs. Sarah Josephine Gajewski, MS OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 190 River Park Dr, Little River, SC 29566 Phone: 585-298-0718
Legacy Healthcare Services Inc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 190 River Park Dr, Little River, SC 29566 Phone: 855-239-3467
Susan Maurine Olmschenk, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2585 Highway 179, Little River, SC 29566 Phone: 843-279-8613
Cheryl Ann Werba, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 491 Highway 17, Little River, SC 29566 Phone: 843-894-4122
Laura C Crescenti, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 190 River Park Dr, Little River, SC 29566 Phone: 215-290-2385
Emily Hamilton, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 190 River Park Dr, Little River, SC 29566 Phone: 843-894-4122
Leah Jarrett, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 190 River Park Dr, Little River, SC 29566 Phone: 843-741-0082

Gianna Marie Jacullo, OTR/L - Medicare Occupational Therapist in Little River, SC