Jessica Goethals, in Draper, UT - Medicare Occupational Therapist Provider

Jessica Goethals, is a medicare enrolled "Occupational Therapist" provider in Draper, Utah. Her current practice location is 12453 S 265 W Ste B, Draper, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 443-7775.

Jessica Goethals is licensed to practice in Utah (license number 12478682-4201) 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 1649836271.

Contact Information

	Jessica Goethals,
	12453 S 265 W Ste B, Draper, UT 84020-5420
	(801) 443-7775
	(801) 447-0107

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica Goethals
Gender	Female
Speciality	Occupational Therapist
Location	12453 S 265 W Ste B, Draper, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649836271
Provider Enumeration Date: 05/20/2019
Last Update Date: 02/08/2022

Medicare PECOS Information:

PECOS PAC ID: 6800327081
Enrollment ID: I20240927002584

Medical Identifiers

Medical identifiers for Jessica Goethals such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649836271	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	12478682-4201 (Utah)	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. Jessica Goethals allows following entities to bill medicare on her behalf.

Provider Name	Thera-peds
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1508202151 PECOS PAC ID: 1254563992 Enrollment ID: O20140411001829

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. Jessica Goethals 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
Jessica Goethals, 1034 Great Oaks Blvd, Rochester, MI 48307-1022 Ph: () -	Jessica Goethals, 12453 S 265 W Ste B, Draper, UT 84020-5420 Ph: (801) 443-7775

Reviews and Comments

Occupational Therapist in Draper, UT

Jeannise Marie Nichols, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2021 E Village Green Cir Ste C, Draper, UT 84020 Phone: 801-440-5592
Kaylyn Ellis, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12453 S 265 W Ste B, Draper, UT 84020 Phone: 801-443-7775 Fax: 801-447-0107
Kari Armstrong, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12453 S 265 W Ste B, Draper, UT 84020 Phone: 801-443-7775 Fax: 801-447-0107
Mariah Bonet Leroux, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12453 S 265 W Ste B, Draper, UT 84020 Phone: 801-443-7775 Fax: 801-447-0107
Megan Brimhall, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12453 S 265 W Ste B, Draper, UT 84020 Phone: 801-443-7775
Kassidy Lien Ha, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12453 S 265 W Ste B, Draper, UT 84020 Phone: 801-443-7775 Fax: 801-447-0107

Jessica Goethals, - Medicare Occupational Therapist in Draper, UT