| Jessica Lynne Powell, | |
|
5000 Highway 17 Byp S, Myrtle Beach, SC 29588-4500 | |
| (843) 252-0033 | |
| Not Available |
| Full Name | Jessica Lynne Powell |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 5000 Highway 17 Byp S, Myrtle Beach, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740968585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (South Carolina) | Primary |
| Provider Name | Benchmark Healthcare Services Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1811213341 PECOS PAC ID: 3779726468 Enrollment ID: O20130828000417 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Lynne Powell, 829 Park Chase Dr, Evans, GA 30809-4075 Ph: () - | Jessica Lynne Powell, 5000 Highway 17 Byp S, Myrtle Beach, SC 29588-4500 Ph: (843) 252-0033 |
Kel Z Gaskin Prock, MSR, OTR L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3603 Kingsley Dr, Myrtle Beach, SC 29588 Phone: 843-424-5450 | |
Shannon Southerland, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5000 Highway 17 Byp S, Myrtle Beach, SC 29588 Phone: 843-252-0033 | |
Enable My Child Ltd. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 22411 N Oak Street Suite 301l, Myrtle Beach, SC 29577 Phone: 888-511-7930 | |
Benchmark Healthcare Service Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7955 N Kings Hwy Ste 330, Myrtle Beach, SC 29572 Phone: 843-945-1815 Fax: 843-945-2343 | |
Carrie Deluca, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2200 Crow Ln Ste 201, Myrtle Beach, SC 29577 Phone: 843-848-5001 | |
Dorothy Gregory, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3620 Happy Woods Ct, Myrtle Beach, SC 29588 Phone: 843-293-2246 | |
Jacqueline Gibbons, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3799 Cape Landing Cir Apt C, Myrtle Beach, SC 29588 Phone: 845-313-2012 |