Dr Jacqueline Grace Kettler, OTR/L in Saint Augustine, FL - Medicare Occupational Therapist Provider

Dr Jacqueline Grace Kettler, OTR/L is a medicare enrolled "Occupational Therapist" provider in Saint Augustine, Florida. Her current practice location is 150 Village Crossing Ct, Saint Augustine, Florida. You can reach out to her office (for appointments etc.) via phone at (502) 694-5241.

Dr Jacqueline Grace Kettler is licensed to practice in Florida (license number 23228) 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 1003684119.

Contact Information

	Dr Jacqueline Grace Kettler, OTR/L
	150 Village Crossing Ct, Saint Augustine, FL 32084-8697
	(502) 694-5241
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jacqueline Grace Kettler
Gender	Female
Speciality	Occupational Therapist
Location	150 Village Crossing Ct, Saint Augustine, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003684119
Provider Enumeration Date: 12/18/2023
Last Update Date: 12/18/2023

Medicare PECOS Information:

PECOS PAC ID: 4284075706
Enrollment ID: I20240515003121

Medical Identifiers

Medical identifiers for Dr Jacqueline Grace Kettler such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003684119	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	23228 (Florida)	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. Dr Jacqueline Grace Kettler allows following entities to bill medicare on her behalf.

Provider Name	H2 Rehabilitation Services Of Florida Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1275285926 PECOS PAC ID: 3971411851 Enrollment ID: O20220709000930

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. Dr Jacqueline Grace Kettler 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
Dr Jacqueline Grace Kettler, OTR/L 2121 Golden Lake Loop, Saint Augustine, FL 32084-5899 Ph: (417) 385-7650	Dr Jacqueline Grace Kettler, OTR/L 150 Village Crossing Ct, Saint Augustine, FL 32084-8697 Ph: (502) 694-5241

Reviews and Comments

Occupational Therapist in Saint Augustine, FL

Home In Mind Llc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 195 Whitland Way, Saint Augustine, FL 32086 Phone: 440-787-6985
Womens Integrative Healing Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5218 River Park Villas Dr, Saint Augustine, FL 32092 Phone: 256-364-9098
Cynthia K Mathena, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 Southpark Blvd, Suite B201, Saint Augustine, FL 32086 Phone: 904-824-1636 Fax: 904-824-7488
Kathryn Klein, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 908 White Eagle Cir, Saint Augustine, FL 32086 Phone: 904-315-5232
Jana Sanford-heller, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 Southpark Blvd Ste 202, Saint Augustine, FL 32086 Phone: 352-256-0658
Karen Corney-maneely, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 39 Ocean Dr, Saint Augustine, FL 32080 Phone: 904-461-9136

Dr Jacqueline Grace Kettler, OTR/L - Medicare Occupational Therapist in Saint Augustine, FL