Jaclyn Petermann, OTR/L in Anderson, SC - Medicare Occupational Therapist Provider

Jaclyn Petermann, OTR/L is a medicare enrolled "Occupational Therapist" provider in Anderson, South Carolina. Her current practice location is 208 James St, Anderson, South Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 226-3427.

Jaclyn Petermann is licensed to practice in South Carolina (license number 4975) 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 1306312228.

Contact Information

	Jaclyn Petermann, OTR/L
	208 James St, Anderson, SC 29625-2942
	(864) 226-3427
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jaclyn Petermann
Gender	Female
Speciality	Occupational Therapist
Location	208 James St, Anderson, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306312228
Provider Enumeration Date: 10/18/2018
Last Update Date: 10/18/2018

Medicare PECOS Information:

PECOS PAC ID: 4688059660
Enrollment ID: I20220912001017

Medical Identifiers

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

Identifier	Type	State	Issuer
1306312228	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	4975 (South Carolina)	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 Petermann allows following entities to bill medicare on her behalf.

Provider Name	Aegis Group Practice Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1891446043 PECOS PAC ID: 5193036432 Enrollment ID: O20200911000933

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 Petermann 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 Petermann, OTR/L 111 Montclaire Cir, Liberty, SC 29657-5200 Ph: (862) 812-3014	Jaclyn Petermann, OTR/L 208 James St, Anderson, SC 29625-2942 Ph: (864) 226-3427

Reviews and Comments

Occupational Therapist in Anderson, SC

Anmed Health Rehab Plus Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2000 E Greenville St Ste 3900, Anderson, SC 29621 Phone: 864-231-2874 Fax: 864-231-2875
Mrs. Karla Lynn Cook, OTR-L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2000 E Greenville St, Suite 3950, Anderson, SC 29621 Phone: 864-716-6140 Fax: 864-716-6149
Dr. Garison Arinder, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1501 E Greenville St, Anderson, SC 29621 Phone: 864-226-8356
Mr. Brian Cobb, MSOT R/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 611 E Hampton St, Anderson, SC 29624 Phone: 864-226-5054
Megan Moore Holliday, MOT, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2203 Marchbanks Ave, Anderson, SC 29621 Phone: 864-231-7786
Kayla Marko Friddle, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1501 E Greenville St, Anderson, SC 29621 Phone: 864-226-8356
Janna Lynn Stirling, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 208 James St, Anderson, SC 29625 Phone: 864-226-3427

Jaclyn Petermann, OTR/L - Medicare Occupational Therapist in Anderson, SC