Shea Jackson, OTR/L in Paducah, KY - Medicare Occupational Therapist Provider

Shea Jackson, OTR/L is a medicare enrolled "Occupational Therapist" provider in Paducah, Kentucky. Her current practice location is 100 Kiana Ct Apt A, Paducah, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 443-0681.

Shea Jackson is licensed to practice in Kentucky (license number 280416) 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 1255058475.

Contact Information

	Shea Jackson, OTR/L
	100 Kiana Ct Apt A, Paducah, KY 42001-6767
	(270) 443-0681
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shea Jackson
Gender	Female
Speciality	Occupational Therapist
Location	100 Kiana Ct Apt A, Paducah, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255058475
Provider Enumeration Date: 10/27/2022
Last Update Date: 10/27/2022

Medicare PECOS Information:

PECOS PAC ID: 6002284205
Enrollment ID: I20221118002081

Medical Identifiers

Medical identifiers for Shea Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255058475	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	280416 (Kentucky)	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. Shea Jackson allows following entities to bill medicare on her behalf.

Provider Name	Atlas Physical Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1063816940 PECOS PAC ID: 0941523245 Enrollment ID: O20141217001550

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. Shea Jackson 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
Shea Jackson, OTR/L 100 Kiana Ct Apt A, Paducah, KY 42001-6767 Ph: () -	Shea Jackson, OTR/L 100 Kiana Ct Apt A, Paducah, KY 42001-6767 Ph: (270) 443-0681

Reviews and Comments

Occupational Therapist in Paducah, KY

Amanda E Sturm, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3235 Olivet Church Rd Ste D, Paducah, KY 42001 Phone: 270-443-5712
Mr. Robert Glenn Durrett, OT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 142 Stuart Nelson Park Rd, Paducah, KY 42001 Phone: 270-442-9502
Landals Speech Pathology, Pllc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 163 Kennedy Rd, Paducah, KY 42001 Phone: 931-561-9802
Jennifer Rowlett, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3100 Clay St, Paducah, KY 42001 Phone: 270-442-6884
Emelia A Mcconnell, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5050b Village Square Dr, Paducah, KY 42001 Phone: 270-443-0681 Fax: 270-442-7948
Rhonda Edwards, MS,OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3920 Linda Dr, Paducah, KY 42001 Phone: 270-556-8282
Morgan E Mccully, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 115 Kiana Ct, Paducah, KY 42001 Phone: 270-534-1200 Fax: 270-534-0052

Shea Jackson, OTR/L - Medicare Occupational Therapist in Paducah, KY