Jacqueline Grace Hitchcock, in Mill Valley, CA - Medicare Occupational Therapist Provider

Jacqueline Grace Hitchcock, is a medicare enrolled "Occupational Therapist" provider in Mill Valley, California. Her current practice location is 40 Camino Alto, Mill Valley, California. You can reach out to her office (for appointments etc.) via phone at (415) 383-1600.

Jacqueline Grace Hitchcock is licensed to practice in California (license number 23475) 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 1124739685.

Contact Information

	Jacqueline Grace Hitchcock,
	40 Camino Alto, Mill Valley, CA 94941-2956
	(415) 383-1600
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacqueline Grace Hitchcock
Gender	Female
Speciality	Occupational Therapist
Location	40 Camino Alto, Mill Valley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124739685
Provider Enumeration Date: 12/06/2022
Last Update Date: 12/06/2022

Medicare PECOS Information:

PECOS PAC ID: 4587035787
Enrollment ID: I20230126001548

Medical Identifiers

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

Identifier	Type	State	Issuer
1124739685	NPI	-	NPPES
23475	Other	CA	CALIFORNIA BOARD OF OCCUPATIONAL THERAPY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	23475 (California)	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. Jacqueline Grace Hitchcock allows following entities to bill medicare on her behalf.

Provider Name	Sand Coast Rehab Physical Therapy Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1639766603 PECOS PAC ID: 7315352911 Enrollment ID: O20210211003128

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. Jacqueline Grace Hitchcock 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
Jacqueline Grace Hitchcock, 10950 Elvessa St, Oakland, CA 94605-5512 Ph: (510) 590-0212	Jacqueline Grace Hitchcock, 40 Camino Alto, Mill Valley, CA 94941-2956 Ph: (415) 383-1600

Reviews and Comments

Occupational Therapist in Mill Valley, CA

Ms. Samea Teller, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5 Madrone Park Cir, Mill Valley, CA 94941 Phone: 206-501-6218
Carissa Recco, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 40 Camino Alto, Mill Valley, CA 94941 Phone: 415-383-1600
Jean Ihle, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 49 Shell Rd, Mill Valley, CA 94941 Phone: 415-902-6132
Corry Wagner, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 131 Camino Alto Ste E-3, Mill Valley, CA 94941 Phone: 415-518-8250
Monica Beltrami, O.T.R Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 39 Reed Blvd, Mill Valley, CA 94941 Phone: 540-996-7645
Lue Ann Tikker, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 330 Pine Hill Rd, Mill Valley, CA 94941 Phone: 415-383-3949 Fax: 415-383-4596

Jacqueline Grace Hitchcock, - Medicare Occupational Therapist in Mill Valley, CA