Ms Jacqueline M Luckett, OTR-L - Medicare Occupational Therapist in Roanoke, VA

Ms Jacqueline M Luckett, OTR-L is a medicare enrolled "Occupational Therapist" provider in Roanoke, Virginia. Her current practice location is 4515 Brambleton Ave, Roanoke, Virginia. You can reach out to her office (for appointments etc.) via phone at (540) 961-1230.

Ms Jacqueline M Luckett is licensed to practice in Virginia (license number 119003189) 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 1154467694.

Contact Information

Ms Jacqueline M Luckett, OTR-L
4515 Brambleton Ave,
Roanoke, VA 24018-3436
(540) 961-1230
(540) 951-0613



Healthcare Provider's Profile

Full NameMs Jacqueline M Luckett
GenderFemale
SpecialityOccupational Therapist
Location4515 Brambleton Ave, Roanoke, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154467694
  • Provider Enumeration Date: 01/30/2007
  • Last Update Date: 09/24/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 9133543820
  • Enrollment ID: I20200728002831

Medical Identifiers

Medical identifiers for Ms Jacqueline M Luckett such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154467694NPI-NPPES
7156232OtherVAAETNA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 119003189 (Virginia)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. Ms Jacqueline M Luckett allows following entities to bill medicare on her behalf.
Provider NameLegacy Healthcare Services Inc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1740820828
PECOS PAC ID: 2163339722
Enrollment ID: O20200313002051

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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. Ms Jacqueline M Luckett 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
Ms Jacqueline M Luckett, OTR-L
4515 Brambleton Ave,
Roanoke, VA 24018-3436

Ph: (540) 961-1230
Ms Jacqueline M Luckett, OTR-L
4515 Brambleton Ave,
Roanoke, VA 24018-3436

Ph: (540) 961-1230

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Occupational Therapist in Roanoke, VA

Ms. Amanda Elizabeth Beck, OT
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 40 Douglas Ave Nw, Roanoke, VA 24012
Phone: 540-853-1690    
Mrs. Jennifer Danielle Papenfuse, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 5120 Mason Park Dr, Roanoke, VA 24019
Phone: 540-556-7776    
Cynthia L Bolling, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1421 3rd St Sw, Roanoke, VA 24016
Phone: 540-982-2208    Fax: 540-982-7637
Kathryn Larson, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4064 Postal Dr, Roanoke, VA 24018
Phone: 540-776-0208    Fax: 540-777-5847
Carrie R Winterhoff, OTR-L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2727 Electric Rd, Suite 104, Roanoke, VA 24018
Phone: 540-961-1230    Fax: 540-951-0613
Courtney B Diver, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1421 3rd St Sw, Roanoke, VA 24016
Phone: 540-982-2208    Fax: 540-982-7637
Faith N Sword, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2727 Electric Rd, Suite 104, Roanoke, VA 24018
Phone: 540-961-1230    Fax: 540-951-0613

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