Jaclyn Craddock, in Antioch, TN - Medicare Occupational Therapist Provider

Jaclyn Craddock, is a medicare enrolled "Occupational Therapist" provider in Antioch, Tennessee. Her current practice location is 889 Bell Rd Ste A, Antioch, Tennessee. You can reach out to her office (for appointments etc.) via phone at (800) 381-2195.

Jaclyn Craddock is licensed to practice in * (Not Available) (license number ) 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 1992272959.

Contact Information

	Jaclyn Craddock,
	889 Bell Rd Ste A, Antioch, TN 37013-3101
	(800) 381-2195
	(888) 381-0822

Map and Direction

Healthcare Provider's Profile

Full Name	Jaclyn Craddock
Gender	Female
Speciality	Occupational Therapist
Location	889 Bell Rd Ste A, Antioch, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992272959
Provider Enumeration Date: 10/29/2018
Last Update Date: 10/29/2018

Medicare PECOS Information:

PECOS PAC ID: 2365866043
Enrollment ID: I20200728002647

Medical Identifiers

Medical identifiers for Jaclyn Craddock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992272959	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	(* (Not Available))	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. Jaclyn Craddock allows following entities to bill medicare on her behalf.

Provider Name	K's Therapies Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1841849932 PECOS PAC ID: 7810328457 Enrollment ID: O20200514000504

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. Jaclyn Craddock 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
Jaclyn Craddock, 4500 Satellite Blvd Ste 2250, Duluth, GA 30096-5047 Ph: (800) 381-2195	Jaclyn Craddock, 889 Bell Rd Ste A, Antioch, TN 37013-3101 Ph: (800) 381-2195

Reviews and Comments

Occupational Therapist in Antioch, TN

Joseph Timothy Gragg, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 411 Arbor Crest Blvd, Antioch, TN 37013 Phone: 615-506-1395
Ms. Yulonda Crump, OT/L CPAM Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2345 Hamlet Hill Dr, Antioch, TN 37013 Phone: 615-260-3432
Natalie Butler, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 889 Bell Rd Ste A, Antioch, TN 37013 Phone: 800-381-2195 Fax: 888-381-0822
Terisa Reimschisel, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 889 Bell Rd # A, Antioch, TN 37013 Phone: 800-381-2195 Fax: 888-381-0822
Cassie Rene' Oliver, ATC, LAT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 889 Bell Rd Ste A, Antioch, TN 37013 Phone: 800-381-2195
Johanna Grose, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 889 Bell Rd Ste A, Antioch, TN 37013 Phone: 800-381-2195 Fax: 888-381-0822

Jaclyn Craddock, - Medicare Occupational Therapist in Antioch, TN