Stacey Kelso, OTR/L in Sumter, SC - Medicare Occupational Therapist Provider

Stacey Kelso, OTR/L is a medicare enrolled "Occupational Therapist" provider in Sumter, South Carolina. Her current practice location is 585 Saint Augustine Dr, Sumter, South Carolina. You can reach out to her office (for appointments etc.) via phone at (614) 477-9214.

Stacey Kelso is licensed to practice in South Carolina (license number 5270) 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 1689130981.

Contact Information

	Stacey Kelso, OTR/L
	585 Saint Augustine Dr, Sumter, SC 29150-6008
	(614) 477-9214
	(855) 232-8604

Map and Direction

Healthcare Provider's Profile

Full Name	Stacey Kelso
Gender	Female
Speciality	Occupational Therapist
Location	585 Saint Augustine Dr, Sumter, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689130981
Provider Enumeration Date: 02/12/2019
Last Update Date: 02/12/2019

Medicare PECOS Information:

PECOS PAC ID: 1153663463
Enrollment ID: I20190506002064

Medical Identifiers

Medical identifiers for Stacey Kelso such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689130981	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	5270 (South Carolina)	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. Stacey Kelso allows following entities to bill medicare on her behalf.

Provider Name	Functional Pathways Preferred Of Tennessee Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1841561446 PECOS PAC ID: 2860649654 Enrollment ID: O20130110000461

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. Stacey Kelso 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
Stacey Kelso, OTR/L 585 Saint Augustine Dr, Sumter, SC 29150-6008 Ph: (614) 477-9214	Stacey Kelso, OTR/L 585 Saint Augustine Dr, Sumter, SC 29150-6008 Ph: (614) 477-9214

Reviews and Comments

Occupational Therapist in Sumter, SC

Hannah M Rossignol, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2825 Carter Rd, Sumter, SC 29150 Phone: 803-469-7007
Ashleigh Collins High, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2065 Mccrays Mill Rd, Sumter, SC 29154 Phone: 864-451-8091
Beth Alison Cottone, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1018 N Guignard Dr, Sumter, SC 29150 Phone: 803-773-5567
Rita Roberts, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 129 N Washington St, Sumter, SC 29150 Phone: 803-774-9000
Heather Lynn Bradford, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 60 Warwick Ct, Sumter, SC 29154 Phone: 803-840-4102 Fax: 803-840-4102
Amy Ray, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 118 Broad St, Sumter, SC 29150 Phone: 803-518-9195
Abby Conner, MS Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2825 Carter Rd, Sumter, SC 29150 Phone: 803-469-4032

Stacey Kelso, OTR/L - Medicare Occupational Therapist in Sumter, SC