Jacqueline Gibbons, - Medicare Occupational Therapist in Myrtle Beach, SC

Jacqueline Gibbons, is a medicare enrolled "Occupational Therapist" provider in Myrtle Beach, South Carolina. Her current practice location is 3799 Cape Landing Cir Apt C, Myrtle Beach, South Carolina. You can reach out to her office (for appointments etc.) via phone at (845) 313-2012.

Jacqueline Gibbons 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 1144663089.

Contact Information

Jacqueline Gibbons,
3799 Cape Landing Cir Apt C,
Myrtle Beach, SC 29588-1123
(845) 313-2012
Not Available



Healthcare Provider's Profile

Full NameJacqueline Gibbons
GenderFemale
SpecialityOccupational Therapist
Location3799 Cape Landing Cir Apt C, Myrtle Beach, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144663089
  • Provider Enumeration Date: 04/10/2013
  • Last Update Date: 07/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1153771084
  • Enrollment ID: I20231219001203

Medical Identifiers

Medical identifiers for Jacqueline Gibbons such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144663089NPI-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. Jacqueline Gibbons allows following entities to bill medicare on her behalf.
Provider NameThe Weston Group Of South Carolina Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1073957064
PECOS PAC ID: 2062651185
Enrollment ID: O20130621000455

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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. Jacqueline Gibbons 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
Jacqueline Gibbons,
3799 Cape Landing Cir Apt C,
Myrtle Beach, SC 29588-1123

Ph: () -
Jacqueline Gibbons,
3799 Cape Landing Cir Apt C,
Myrtle Beach, SC 29588-1123

Ph: (845) 313-2012

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Occupational Therapist in Myrtle Beach, SC

Kel Z Gaskin Prock, MSR, OTR L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3603 Kingsley Dr, Myrtle Beach, SC 29588
Phone: 843-424-5450    
Shannon Southerland,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 5000 Highway 17 Byp S, Myrtle Beach, SC 29588
Phone: 843-252-0033    
Carrie Deluca,
Occupational Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 2200 Crow Ln Ste 201, Myrtle Beach, SC 29577
Phone: 843-848-5001    
Dorothy Gregory,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3620 Happy Woods Ct, Myrtle Beach, SC 29588
Phone: 843-293-2246    
Gabrielle Marrero,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4761 Highway 501 Ste 1, Myrtle Beach, SC 29579
Phone: 843-455-7505    
Alayna K Cline, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 109 Mountain Ash Ln Unit C, Myrtle Beach, SC 29579
Phone: 843-575-8768    

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