Mrs Jacquelyn Sample, MED OTRL in Columbia, MO

Mrs Jacquelyn Sample, MED OTRL is a Occupational Therapist based in Columbia, Missouri. Mrs Jacquelyn Sample is licensed to practice in Missouri (license number 004712) and her current practice location is 300 Portland Street, Columbia, Missouri. She can be reached at her office (for appointments etc.) via phone at (573) 882-3757.

NPI number for Mrs Jacquelyn Sample is 1568509867 and her current mailing address is 300 Portland Street, Columbia, Missouri. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568509867.

Contact Information

	Mrs Jacquelyn Sample, MED OTRL
	300 Portland Street, Columbia, MO 65202
	(573) 882-3757
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Jacquelyn Sample
Gender	Female
Speciality	Occupational Therapist
Location	300 Portland Street, Columbia, Missouri
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1568509867
Provider Enumeration Date: 01/30/2007
Last Update Date: 08/07/2009

Medical Identifiers

Medical identifiers for Mrs Jacquelyn Sample such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568509867	NPI	-	NPPES
476068812	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	004712 (Missouri)	Primary

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. Mrs Jacquelyn Sample is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Jacquelyn Sample, MED OTRL 300 Portland Street, Columbia, MO 65202 Ph: (573) 882-3757	Mrs Jacquelyn Sample, MED OTRL 300 Portland Street, Columbia, MO 65202 Ph: (573) 882-3757

Reviews and Comments

Occupational Therapist in Columbia, MO

Robin Elizabeth Howard-boyd, MOT, OTR/L, CHT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 3301 Berrywood Dr, Columbia, MO 65201 Phone: 573-449-8771
Mrs. Linda B Eagle, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 Bogie Hills Dr, Columbia, MO 65201 Phone: 573-999-4925 Fax: 573-443-2075
Jonalyn Marie Siemer, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 Anderson Ave, Columbia, MO 65203 Phone: 573-443-8494
Bonnie Schuett, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4812 Santana Cir, Columbia, MO 65203 Phone: 573-514-3525
Mrs. Kimberly Mae Hickey, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 Hospital Dr, Columbia, MO 65201 Phone: 573-814-6000
Kathryn Elizabeth Stukel, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 Hospital Dr, Columbia, MO 65201 Phone: 573-814-6000
Brianna Kim, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 104 Granada Blvd Apt A, Columbia, MO 65203 Phone: 720-935-1077

Mrs Jacquelyn Sample, MED OTRL - Occupational Therapist in Columbia, MO