Mr Joseph Albert Church Iii, OTR/L-CHT - Medicare Occupational Therapist in Gulfport, MS

Mr Joseph Albert Church Iii, OTR/L-CHT is a medicare enrolled "Occupational Therapist - Hand" provider in Gulfport, Mississippi. He went to Louisiana State University School Of Medicine In New Orleans and graduated in 1990 and has 34 years of diverse experience with area of expertise as Occupational Therapy. His current practice location is 1105 39th Ave, Gulfport, Mississippi. You can reach out to his office (for appointments etc.) via phone at (228) 575-4654.

Mr Joseph Albert Church Iii is licensed to practice in Mississippi (license number OT0116) 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 1265470744.

Contact Information

Mr Joseph Albert Church Iii, OTR/L-CHT
1105 39th Ave,
Gulfport, MS 39501-2654
(228) 575-4654
(228) 575-4651



Healthcare Provider's Profile

Full NameMr Joseph Albert Church Iii
GenderMale
SpecialityOccupational Therapy
Experience34 Years
Location1105 39th Ave, Gulfport, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Joseph Albert Church Iii attended and graduated from Louisiana State University School Of Medicine In New Orleans in 1990
  NPI Data:
  • NPI Number: 1265470744
  • Provider Enumeration Date: 06/04/2006
  • Last Update Date: 01/29/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 9739191883
  • Enrollment ID: I20060608000217

Medical Identifiers

Medical identifiers for Mr Joseph Albert Church Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265470744NPI-NPPES
00119593MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225XH1200XOccupational Therapist - Hand OT0116 (Mississippi)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. Mr Joseph Albert Church Iii allows following entities to bill medicare on his behalf.
Provider NameCoast Hand Therapy, Inc.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1023055415
PECOS PAC ID: 5294747341
Enrollment ID: O20060608000145

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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. Mr Joseph Albert Church Iii 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
Mr Joseph Albert Church Iii, OTR/L-CHT
1105 39th Ave,
Gulfport, MS 39501-2654

Ph: (228) 575-4654
Mr Joseph Albert Church Iii, OTR/L-CHT
1105 39th Ave,
Gulfport, MS 39501-2654

Ph: (228) 575-4654

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Occupational Therapist in Gulfport, MS

Jessica Carter,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 8950 Lorraine Rd Ste C, Gulfport, MS 39503
Phone: 228-355-9946    
Spot Therapy
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 8950 Lorraine Rd Ste C, Gulfport, MS 39503
Phone: 228-355-9946    
Coast Hand Therapy, Inc.
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 1105 39th Ave, Gulfport, MS 39501
Phone: 228-575-4654    Fax: 228-575-4651
Christine R Ackerman, OT
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 9471 Three Rivers Rd Ste D, Gulfport, MS 39503
Phone: 228-822-9066    Fax: 228-822-9722
Samantha C Pierce, OTR/L
Occupational Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 15476 Dedeaux Rd, Gulfport, MS 39503
Phone: 228-230-2663    
David Grizzard,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1800 Beach Dr, Gulfport, MS 39507
Phone: 228-897-4452    Fax: 228-897-4481
Caitlyn R Burgess, OT
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 12311 Ashley Dr Ste A, Gulfport, MS 39503
Phone: 662-349-8787    Fax: 662-349-8757

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