Jacquelyn Marie Maxwell, | |
65 Palmetto Wood Pkwy, Irmo, SC 29063-2880 | |
(352) 262-3686 | |
Not Available |
Full Name | Jacquelyn Marie Maxwell |
---|---|
Gender | Female |
Speciality | Occupational Therapy |
Experience | 16 Years |
Location | 65 Palmetto Wood Pkwy, Irmo, South Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891252847 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 4023 (South Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fox Rehabilitation Services Of South Carolina, Llc | 3971639998 | 207 |
Provider Name | Fox Rehabilitation Services Of South Carolina, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1902133689 PECOS PAC ID: 3971639998 Enrollment ID: O20100330000294 |
Mailing Address | Practice Location Address |
---|---|
Jacquelyn Marie Maxwell, 65 Palmetto Wood Pkwy, Irmo, SC 29063-2880 Ph: (352) 262-3686 | Jacquelyn Marie Maxwell, 65 Palmetto Wood Pkwy, Irmo, SC 29063-2880 Ph: (352) 262-3686 |
Kellie Anne Balko, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 317 English Legend Dr, Irmo, SC 29063 Phone: 803-240-1461 | |
Miss Stephanie Sabrina Kinard-suber, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1002 Steeple Ridge Rd, Irmo, SC 29063 Phone: 803-271-2364 Fax: 803-708-5618 | |
Annalise Worsdall, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 108 Belfair Rd, Irmo, SC 29063 Phone: 803-738-6144 | |
Mrs. Haylee Dawkins Mitchell, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 325 Cabin Dr, Irmo, SC 29063 Phone: 803-319-7723 | |
Mrs. Kimberly Michelle Adams, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1002 Steeple Ridge Rd, Irmo, SC 29063 Phone: 803-271-2364 Fax: 803-708-5618 | |
Krystal Vermillion, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 108 Belfair Rd, Irmo, SC 29063 Phone: 803-738-6144 | |
Anna Mortensen Harmon, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1036 Kinley Rd Ste B, Irmo, SC 29063 Phone: 803-787-3033 |