Ms Jacqueline M Luckett, OTR-L | |
4515 Brambleton Ave, Roanoke, VA 24018-3436 | |
(540) 961-1230 | |
(540) 951-0613 |
Full Name | Ms Jacqueline M Luckett |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 4515 Brambleton Ave, Roanoke, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154467694 | NPI | - | NPPES |
7156232 | Other | VA | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 119003189 (Virginia) | Primary |
Provider Name | Legacy Healthcare Services Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1740820828 PECOS PAC ID: 2163339722 Enrollment ID: O20200313002051 |
Mailing Address | Practice Location Address |
---|---|
Ms Jacqueline M Luckett, OTR-L 4515 Brambleton Ave, Roanoke, VA 24018-3436 Ph: (540) 961-1230 | Ms Jacqueline M Luckett, OTR-L 4515 Brambleton Ave, Roanoke, VA 24018-3436 Ph: (540) 961-1230 |
Ms. Amanda Elizabeth Beck, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 40 Douglas Ave Nw, Roanoke, VA 24012 Phone: 540-853-1690 | |
Mrs. Jennifer Danielle Papenfuse, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5120 Mason Park Dr, Roanoke, VA 24019 Phone: 540-556-7776 | |
Cynthia L Bolling, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1421 3rd St Sw, Roanoke, VA 24016 Phone: 540-982-2208 Fax: 540-982-7637 | |
Kathryn Larson, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4064 Postal Dr, Roanoke, VA 24018 Phone: 540-776-0208 Fax: 540-777-5847 | |
Carrie R Winterhoff, OTR-L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2727 Electric Rd, Suite 104, Roanoke, VA 24018 Phone: 540-961-1230 Fax: 540-951-0613 | |
Courtney B Diver, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1421 3rd St Sw, Roanoke, VA 24016 Phone: 540-982-2208 Fax: 540-982-7637 | |
Faith N Sword, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2727 Electric Rd, Suite 104, Roanoke, VA 24018 Phone: 540-961-1230 Fax: 540-951-0613 |