Jaclyn Craddock, - Medicare Occupational Therapist in Antioch, TN

Jaclyn Craddock, is a medicare enrolled "Occupational Therapist" provider in Antioch, Tennessee. Her current practice location is 889 Bell Rd Ste A, Antioch, Tennessee. You can reach out to her office (for appointments etc.) via phone at (800) 381-2195.

Jaclyn Craddock is licensed to practice in * (Not Available) (license number ) 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 1992272959.

Contact Information

Jaclyn Craddock,
889 Bell Rd Ste A,
Antioch, TN 37013-3101
(800) 381-2195
(888) 381-0822



Healthcare Provider's Profile

Full NameJaclyn Craddock
GenderFemale
SpecialityOccupational Therapist
Location889 Bell Rd Ste A, Antioch, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1992272959
  • Provider Enumeration Date: 10/29/2018
  • Last Update Date: 10/29/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2365866043
  • Enrollment ID: I20200728002647

Medical Identifiers

Medical identifiers for Jaclyn Craddock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992272959NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist (* (Not Available))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. Jaclyn Craddock allows following entities to bill medicare on her behalf.
Provider NameK's Therapies Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1841849932
PECOS PAC ID: 7810328457
Enrollment ID: O20200514000504

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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. Jaclyn Craddock 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
Jaclyn Craddock,
4500 Satellite Blvd Ste 2250,
Duluth, GA 30096-5047

Ph: (800) 381-2195
Jaclyn Craddock,
889 Bell Rd Ste A,
Antioch, TN 37013-3101

Ph: (800) 381-2195

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Occupational Therapist in Antioch, TN

Joseph Timothy Gragg, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 411 Arbor Crest Blvd, Antioch, TN 37013
Phone: 615-506-1395    
Ms. Yulonda Crump, OT/L CPAM
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 2345 Hamlet Hill Dr, Antioch, TN 37013
Phone: 615-260-3432    
Natalie Butler, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 889 Bell Rd Ste A, Antioch, TN 37013
Phone: 800-381-2195    Fax: 888-381-0822
Terisa Reimschisel, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 889 Bell Rd # A, Antioch, TN 37013
Phone: 800-381-2195    Fax: 888-381-0822
Cassie Rene' Oliver, ATC, LAT, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 889 Bell Rd Ste A, Antioch, TN 37013
Phone: 800-381-2195    
Johanna Grose, OT
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 889 Bell Rd Ste A, Antioch, TN 37013
Phone: 800-381-2195    Fax: 888-381-0822

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