Mrs Jessica Lively Simmons, OTR/L is a medicare enrolled "Occupational Therapist" provider in Wirtz, Virginia. Her current practice location is
9535 Brooks Mill Rd, Wirtz, Virginia. You can reach out to her office (for appointments etc.) via phone at
(540) 556-1963.
Mrs Jessica Lively Simmons is licensed to practice in Virginia (license number 0119005565) 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 1467986505.
Healthcare Provider's Profile
Full Name | Mrs Jessica Lively Simmons |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 9535 Brooks Mill Rd, Wirtz, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1467986505
- Provider Enumeration Date: 04/15/2017
- Last Update Date: 04/15/2017
Medicare PECOS Information:
- PECOS PAC ID: 2961879655
- Enrollment ID: I20221109002549
Medical Identifiers
Medical identifiers for Mrs Jessica Lively Simmons such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467986505 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 0119005565 (Virginia) | 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. Mrs Jessica Lively Simmons allows following entities to bill medicare on her behalf.
Provider Name | Connections Achievement And Therapy Center Corp |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1972862761 PECOS PAC ID: 9234417858 Enrollment ID: O20161101001895 |
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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. Mrs Jessica Lively Simmons 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 |
Mrs Jessica Lively Simmons, OTR/L 9535 Brooks Mill Rd, Wirtz, VA 24184-4627 Ph: (540) 556-1963 | Mrs Jessica Lively Simmons, OTR/L 9535 Brooks Mill Rd, Wirtz, VA 24184-4627 Ph: (540) 556-1963 |
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