Mrs Kelly Marie Mccoy, OT in Gulfport, MS - Medicare Occupational Therapy Provider

Mrs Kelly Marie Mccoy, OT is a medicare enrolled "Occupational Therapist" provider in Gulfport, Mississippi. She graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Occupational Therapy. She is a member of the group practice Ideal Physical Therapy Of Texas Llc and her current practice location is 15476 Dedeaux Rd., Suite B, Gulfport, Mississippi. You can reach out to her office (for appointments etc.) via phone at (228) 679-3001.

Mrs Kelly Marie Mccoy is licensed to practice in * (Not Available) (license number ) 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 1700858826.

Contact Information

	Mrs Kelly Marie Mccoy, OT
	15476 Dedeaux Rd., Suite B, Gulfport, MS 39503
	(228) 679-3001
	(228) 679-3039

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kelly Marie Mccoy
Gender	Female
Speciality	Occupational Therapy
Experience	19 Years
Location	15476 Dedeaux Rd., Gulfport, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Kelly Marie Mccoy graduated from medical school in 2005

NPI Data:

NPI Number: 1700858826
Provider Enumeration Date: 02/02/2006
Last Update Date: 08/26/2024

Medicare PECOS Information:

PECOS PAC ID: 1355496894
Enrollment ID: I20171110001409

Medical Identifiers

Medical identifiers for Mrs Kelly Marie Mccoy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700858826	NPI	-	NPPES
1700858826	Medicaid	NV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	(* (Not Available))	Primary
225XP0019X	Occupational Therapist - Physical Rehabilitation	OT3034 (Mississippi)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ideal Physical Therapy Of Texas Llc	0547583809	278

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 Kelly Marie Mccoy allows following entities to bill medicare on her behalf.

Provider Name	Ideal Physical Therapy Of Texas Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1538573746 PECOS PAC ID: 0547583809 Enrollment ID: O20141218000890

Provider Name	Athletico Ltd
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20190128000322

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 Kelly Marie Mccoy 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 Kelly Marie Mccoy, OT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () -	Mrs Kelly Marie Mccoy, OT 15476 Dedeaux Rd., Suite B, Gulfport, MS 39503 Ph: (228) 679-3001

Reviews and Comments

Occupational Therapist in Gulfport, MS

Jessica Carter, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8950 Lorraine Rd Ste C, Gulfport, MS 39503 Phone: 228-355-9946
Spot Therapy Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8950 Lorraine Rd Ste C, Gulfport, MS 39503 Phone: 228-355-9946
Coast Hand Therapy, Inc. Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1105 39th Ave, Gulfport, MS 39501 Phone: 228-575-4654 Fax: 228-575-4651
Christine R Ackerman, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9471 Three Rivers Rd Ste D, Gulfport, MS 39503 Phone: 228-822-9066 Fax: 228-822-9722
Samantha C Pierce, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 15476 Dedeaux Rd, Gulfport, MS 39503 Phone: 228-230-2663
David Grizzard, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1800 Beach Dr, Gulfport, MS 39507 Phone: 228-897-4452 Fax: 228-897-4481
Caitlyn R Burgess, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 12311 Ashley Dr Ste A, Gulfport, MS 39503 Phone: 662-349-8787 Fax: 662-349-8757

Mrs Kelly Marie Mccoy, OT - Medicare Occupational Therapist in Gulfport, MS