Kelly Sue Jeffers-gray, MOT, OTR/L is a medicare enrolled "Occupational Therapist" provider in Wilton, Iowa. She graduated from medical school in 2002 and has 23 years of diverse experience with area of expertise as Occupational Therapy. She is a member of the group practice Rock Valley Physical Therapy Center and her current practice location is
400 Ovesen Dr, Wilton, Iowa. You can reach out to her office (for appointments etc.) via phone at
(563) 732-4317.
Kelly Sue Jeffers-gray is licensed to practice in Iowa (license number 01527) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1578679379.
Healthcare Provider's Profile
| Full Name | Kelly Sue Jeffers-gray |
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| Gender | Female |
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| Speciality | Occupational Therapy |
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| Experience | 23 Years |
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| Location | 400 Ovesen Dr, Wilton, Iowa |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kelly Sue Jeffers-gray graduated from medical school in 2002
NPI Data:
- NPI Number: 1578679379
- Provider Enumeration Date: 08/22/2006
- Last Update Date: 03/29/2018
Medicare PECOS Information:
- PECOS PAC ID: 2466481288
- Enrollment ID: I20050811000377
Medical Identifiers
Medical identifiers for Kelly Sue Jeffers-gray such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578679379 | NPI | - | NPPES |
| 0665711 | Medicaid | IA | |
| 38037 | Other | IA | BLUE CROSS BLUE SHIELD |
| I15598 | Other | IA | MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225XP0200X | Occupational Therapist - Pediatrics | 01527 (Iowa) | Secondary |
| 225X00000X | Occupational Therapist | 01527 (Iowa) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Rock Valley Physical Therapy Center | 9638087877 | 191 |
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. Kelly Sue Jeffers-gray allows following entities to bill medicare on her behalf.
| Provider Name | Rock Valley Physical Therapy Center |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1245373166
PECOS PAC ID: 9638087877
Enrollment ID: O20080513000596 |
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| Provider Name | Rock Valley Therapy Services Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1700104833
PECOS PAC ID: 6608908587
Enrollment ID: O20100924000998 |
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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. Kelly Sue Jeffers-gray 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 |
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Kelly Sue Jeffers-gray, MOT, OTR/L
850 43rd Ave Ste 100,
Moline, IL 61265-8401
Ph: (309) 743-2070 | Kelly Sue Jeffers-gray, MOT, OTR/L
400 Ovesen Dr,
Wilton, IA 52778-9612
Ph: (563) 732-4317 |
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