Carolyn Patricia Peters, OTR/L in Gulfport, MS - Medicare Occupational Therapist Provider

Carolyn Patricia Peters, OTR/L is a medicare enrolled "Occupational Therapist" provider in Gulfport, Mississippi. Her current practice location is 1423 Magnolia St Apt D, Gulfport, Mississippi. You can reach out to her office (for appointments etc.) via phone at (228) 256-6015.

Carolyn Patricia Peters is licensed to practice in Mississippi (license number OT-4111) 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 1720718976.

Contact Information

	Carolyn Patricia Peters, OTR/L
	1423 Magnolia St Apt D, Gulfport, MS 39507-3569
	(228) 256-6015
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Carolyn Patricia Peters
Gender	Female
Speciality	Occupational Therapist
Location	1423 Magnolia St Apt D, Gulfport, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720718976
Provider Enumeration Date: 06/12/2022
Last Update Date: 04/22/2024

Medicare PECOS Information:

PECOS PAC ID: 4789024324
Enrollment ID: I20240430003538

Medical Identifiers

Medical identifiers for Carolyn Patricia Peters such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720718976	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	056.012890 (Illinois)	Secondary
225X00000X	Occupational Therapist	OT-4111 (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. Carolyn Patricia Peters allows following entities to bill medicare on her behalf.

Provider Name	Drayer Physical Therapy Mississippi Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1952732448 PECOS PAC ID: 3274834858 Enrollment ID: O20160314001040

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. Carolyn Patricia Peters 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 Address	Practice Location Address
Carolyn Patricia Peters, OTR/L 1200 Corporate Dr Ste 300, Hoover, AL 35242-2944 Ph: (423) 777-6236	Carolyn Patricia Peters, OTR/L 1423 Magnolia St Apt D, Gulfport, MS 39507-3569 Ph: (228) 256-6015

Reviews and Comments

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

Carolyn Patricia Peters, OTR/L - Medicare Occupational Therapist in Gulfport, MS