Jemicah Mosby, is a medicare enrolled "Occupational Therapist" provider in Milton, Georgia. He graduated from medical school in 2005 and has 21 years of diverse experience with area of expertise as Occupational Therapist In Private Practice. He is a member of the group practice Legacy Healthcare Services Inc and his current practice location is
385 Sablewood Dr, Milton, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 377-7633.
Jemicah Mosby is licensed to practice in Georgia (license number 004956) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1194480764.
Healthcare Provider's Profile
| Full Name | Jemicah Mosby |
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| Gender | Male |
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| Speciality | Occupational Therapist In Private Practice |
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| Experience | 21 Years |
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| Location | 385 Sablewood Dr, Milton, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jemicah Mosby graduated from medical school in 2005
NPI Data:
- NPI Number: 1194480764
- Provider Enumeration Date: 11/08/2021
- Last Update Date: 11/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 8729464110
- Enrollment ID: I20221010000420
Medical Identifiers
Medical identifiers for Jemicah Mosby such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1194480764 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225X00000X | Occupational Therapist | 004956 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Legacy Healthcare Services Inc | 2163339722 | 3772 |
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. Jemicah Mosby allows following entities to bill medicare on his behalf.
| Provider Name | Legacy Healthcare Services Inc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1528419751 PECOS PAC ID: 2163339722 Enrollment ID: O20160830000411 |
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| Provider Name | Legacy Healthcare Services Inc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1831619337 PECOS PAC ID: 2163339722 Enrollment ID: O20220916001457 |
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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. Jemicah Mosby 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 |
Jemicah Mosby, 385 Sablewood Dr, Milton, GA 30004-8048 Ph: (770) 377-7633 | Jemicah Mosby, 385 Sablewood Dr, Milton, GA 30004-8048 Ph: (770) 377-7633 |
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