Mr Gerald Jules Declouet Jr, LOTR in Lake Charles, LA - Medicare Occupational Therapist Provider

Mr Gerald Jules Declouet Jr, LOTR is a medicare enrolled "Occupational Therapist" provider in Lake Charles, Louisiana. His current practice location is 4190 Gerstner Memorial Blvd, Lake Charles, Louisiana. You can reach out to his office (for appointments etc.) via phone at (337) 240-9730.

Mr Gerald Jules Declouet Jr is licensed to practice in Louisiana (license number OTT.Z11817) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1073200663.

Contact Information

	Mr Gerald Jules Declouet Jr, LOTR
	4190 Gerstner Memorial Blvd, Lake Charles, LA 70607-3804
	(337) 240-9730
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Gerald Jules Declouet Jr
Gender	Male
Speciality	Occupational Therapist
Location	4190 Gerstner Memorial Blvd, Lake Charles, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073200663
Provider Enumeration Date: 04/24/2023
Last Update Date: 04/24/2023

Medicare PECOS Information:

PECOS PAC ID: 6507212529
Enrollment ID: I20231027001168

Medical Identifiers

Medical identifiers for Mr Gerald Jules Declouet Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073200663	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OTT.Z11817 (Louisiana)	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. Mr Gerald Jules Declouet Jr allows following entities to bill medicare on his behalf.

Provider Name	Healthpro Heritage Rehab & Fitness Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1952531154 PECOS PAC ID: 6507832573 Enrollment ID: O20160330000839

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. Mr Gerald Jules Declouet Jr 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
Mr Gerald Jules Declouet Jr, LOTR 1308 Jefferson Dr, Lake Charles, LA 70605-5540 Ph: (337) 853-0770	Mr Gerald Jules Declouet Jr, LOTR 4190 Gerstner Memorial Blvd, Lake Charles, LA 70607-3804 Ph: (337) 240-9730

Reviews and Comments

Occupational Therapist in Lake Charles, LA

Danielle Nester Faulk, MOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 208 W Mcneese St, Lake Charles, LA 70605 Phone: 337-475-1053 Fax: 337-475-1048
Megan Bercier, LOTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 524 Dr Michael Debakey Dr, Lake Charles, LA 70601 Phone: 337-491-7590
Erin Elizabeth Bradley, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2519 Ryan St, Lake Charles, LA 70601 Phone: 337-491-0800
Susan Helms Cart, OT Occupational Therapist Medicare: May Accept Medicare Assignments Practice Location: 1747 Imperial Blvd, Lake Charles, LA 70605 Phone: 337-721-7280 Fax: 337-478-1323
Traci Winborne, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 208 W Mcneese St, Lake Charles, LA 70605 Phone: 337-475-1053
Jennifer Marie Doucet, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 845 Desoto St, Lake Charles, LA 70607 Phone: 337-764-0343

Mr Gerald Jules Declouet Jr, LOTR - Medicare Occupational Therapist in Lake Charles, LA