Shea Jackson, OTR/L - Medicare Occupational Therapist in Paducah, KY

Shea Jackson, OTR/L is a medicare enrolled "Occupational Therapist" provider in Paducah, Kentucky. Her current practice location is 100 Kiana Ct Apt A, Paducah, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 443-0681.

Shea Jackson is licensed to practice in Kentucky (license number 280416) 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 1255058475.

Contact Information

Shea Jackson, OTR/L
100 Kiana Ct Apt A,
Paducah, KY 42001-6767
(270) 443-0681
Not Available



Healthcare Provider's Profile

Full NameShea Jackson
GenderFemale
SpecialityOccupational Therapist
Location100 Kiana Ct Apt A, Paducah, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255058475
  • Provider Enumeration Date: 10/27/2022
  • Last Update Date: 10/27/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6002284205
  • Enrollment ID: I20221118002081

Medical Identifiers

Medical identifiers for Shea Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255058475NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 280416 (Kentucky)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. Shea Jackson allows following entities to bill medicare on her behalf.
Provider NameAtlas Physical Therapy Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1063816940
PECOS PAC ID: 0941523245
Enrollment ID: O20141217001550

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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. Shea Jackson 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
Shea Jackson, OTR/L
100 Kiana Ct Apt A,
Paducah, KY 42001-6767

Ph: () -
Shea Jackson, OTR/L
100 Kiana Ct Apt A,
Paducah, KY 42001-6767

Ph: (270) 443-0681

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Occupational Therapist in Paducah, KY

Amanda E Sturm, MS, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3235 Olivet Church Rd Ste D, Paducah, KY 42001
Phone: 270-443-5712    
Mr. Robert Glenn Durrett, OT/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 142 Stuart Nelson Park Rd, Paducah, KY 42001
Phone: 270-442-9502    
Landals Speech Pathology, Pllc
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 163 Kennedy Rd, Paducah, KY 42001
Phone: 931-561-9802    
Jennifer Rowlett,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3100 Clay St, Paducah, KY 42001
Phone: 270-442-6884    
Emelia A Mcconnell, OT
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 5050b Village Square Dr, Paducah, KY 42001
Phone: 270-443-0681    Fax: 270-442-7948
Rhonda Edwards, MS,OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3920 Linda Dr, Paducah, KY 42001
Phone: 270-556-8282    
Morgan E Mccully, OT
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 115 Kiana Ct, Paducah, KY 42001
Phone: 270-534-1200    Fax: 270-534-0052

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