Staci Gormley, OT in Charleston, SC - Medicare Occupational Therapist In Private Practice Provider

Staci Gormley, OT is a medicare enrolled "Occupational Therapist" provider in Charleston, South Carolina. She graduated from medical school in 1993 and has 32 years of diverse experience with area of expertise as Occupational Therapist In Private Practice. Her current practice location is 171 Ashley Ave, Charleston, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 792-1414.

Staci Gormley is licensed to practice in South Carolina (license number 2494) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1083626410.

Contact Information

	Staci Gormley, OT
	171 Ashley Ave, Charleston, SC 29425-0001
	(843) 792-1414
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Staci Gormley
Gender	Female
Speciality	Occupational Therapist In Private Practice
Experience	32 Years
Location	171 Ashley Ave, Charleston, South Carolina
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Staci Gormley graduated from medical school in 1993

NPI Data:

NPI Number: 1083626410
Provider Enumeration Date: 08/13/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5597756387
Enrollment ID: I20040520000768

Medical Identifiers

Medical identifiers for Staci Gormley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083626410	NPI	-	NPPES
TH1530	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	2494 (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. Staci Gormley allows following entities to bill medicare on her behalf.

Provider Name	Stasi's Low Vision Therapy, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1134493737 PECOS PAC ID: 6507028164 Enrollment ID: O20120427000428

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. Staci Gormley 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
Staci Gormley, OT Po Box 751461, Charlotte, NC 28275-1461 Ph: (843) 792-6200	Staci Gormley, OT 171 Ashley Ave, Charleston, SC 29425-0001 Ph: (843) 792-1414

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
Julia Gilkerson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 34 Colleton Dr, Charleston, SC 29407 Phone: 843-991-7709
Oceanside Manual Therapies Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1018 Stono River Dr, Charleston, SC 29412 Phone: 203-215-9117

Staci Gormley, OT - Medicare Occupational Therapist in Charleston, SC