Mrs Kelly Marie Mccoy, OT - Medicare Occupational Therapist in Gulfport, MS

Mrs Kelly Marie Mccoy, OT is a medicare enrolled "Occupational Therapist - Physical Rehabilitation" provider in Gulfport, Mississippi. She graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Occupational Therapy. She is a member of the group practice Ideal Physical Therapy Of Texas Llc and her current practice location is 15476 Dedeaux Rd., Suite B, Gulfport, Mississippi. You can reach out to her office (for appointments etc.) via phone at (228) 679-3001.

Mrs Kelly Marie Mccoy is licensed to practice in Mississippi (license number OT3034) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1700858826.

Contact Information

Mrs Kelly Marie Mccoy, OT
15476 Dedeaux Rd., Suite B,
Gulfport, MS 39503
(228) 679-3001
(228) 679-3039

Map and Direction




Healthcare Provider's Profile

Full NameMrs Kelly Marie Mccoy
GenderFemale
SpecialityOccupational Therapy
Experience19 Years
Location15476 Dedeaux Rd., Gulfport, Mississippi
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Kelly Marie Mccoy graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1700858826
  • Provider Enumeration Date: 02/02/2006
  • Last Update Date: 12/07/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 1355496894
  • Enrollment ID: I20171110001409

Medical Identifiers

Medical identifiers for Mrs Kelly Marie Mccoy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700858826NPI-NPPES
1700858826MedicaidNV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225XP0019XOccupational Therapist - Physical Rehabilitation OT3034 (Mississippi)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ideal Physical Therapy Of Texas Llc0547583809266

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 Marie Mccoy allows following entities to bill medicare on her behalf.
Provider NameIdeal Physical Therapy Of Texas Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1538573746
PECOS PAC ID: 0547583809
Enrollment ID: O20141218000890
Provider NameAthletico Ltd
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1821085028
PECOS PAC ID: 4789602681
Enrollment ID: O20190128000322

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 Marie Mccoy 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 Marie Mccoy, OT
6300 E Lake Blvd, Suite 301,
Vancleave, MS 39565-6770

Ph: (228) 230-2663
Mrs Kelly Marie Mccoy, OT
15476 Dedeaux Rd., Suite B,
Gulfport, MS 39503

Ph: (228) 679-3001

Reviews and Comments


Occupational Therapist in Gulfport, MS

Jessica Carter,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 8950 Lorraine Rd Ste C, Gulfport, MS 39503
Phone: 228-355-9946    
Spot Therapy
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 8950 Lorraine Rd Ste C, Gulfport, MS 39503
Phone: 228-355-9946    
Coast Hand Therapy, Inc.
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 1105 39th Ave, Gulfport, MS 39501
Phone: 228-575-4654    Fax: 228-575-4651
Christine R Ackerman, OT
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 9471 Three Rivers Rd Ste D, Gulfport, MS 39503
Phone: 228-822-9066    Fax: 228-822-9722
Samantha C Pierce, OTR/L
Occupational Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 15476 Dedeaux Rd, Gulfport, MS 39503
Phone: 228-230-2663    
David Grizzard,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1800 Beach Dr, Gulfport, MS 39507
Phone: 228-897-4452    Fax: 228-897-4481
Caitlyn R Burgess, OT
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 12311 Ashley Dr Ste A, Gulfport, MS 39503
Phone: 662-349-8787    Fax: 662-349-8757

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.