Staci Gormley, OT - Medicare Occupational Therapist in Charleston, SC

Staci Gormley, OT is a medicare enrolled "Occupational Therapist" provider in Charleston, South Carolina. She graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Occupational Therapy. Her current practice location is 171 Ashley Ave, Charleston, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 792-1414.

Staci Gormley is licensed to practice in South Carolina (license number 2494) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1083626410.

Contact Information

Staci Gormley, OT
171 Ashley Ave,
Charleston, SC 29425-0001
(843) 792-1414
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameStaci Gormley
GenderFemale
SpecialityOccupational Therapy
Experience31 Years
Location171 Ashley Ave, Charleston, South Carolina
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Staci Gormley graduated from medical school in 1993
  NPI Data:
  • NPI Number: 1083626410
  • Provider Enumeration Date: 08/13/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 5597756387
  • Enrollment ID: I20040520000768

Medical Identifiers

Medical identifiers for Staci Gormley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083626410NPI-NPPES
TH1530MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 2494 (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. Staci Gormley allows following entities to bill medicare on her behalf.
Provider NameStasi's Low Vision Therapy, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1134493737
PECOS PAC ID: 6507028164
Enrollment ID: O20120427000428

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. Staci Gormley 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 AddressPractice Location Address
Staci Gormley, OT
Po Box 751461,
Charlotte, NC 28275-1461

Ph: (843) 792-6200
Staci Gormley, OT
171 Ashley Ave,
Charleston, SC 29425-0001

Ph: (843) 792-1414

Reviews and Comments


Occupational Therapist in Charleston, SC

Mr. Shawn Styles, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1941 Savage Road, Suite 400c, Charleston, SC 29407
Phone: 843-571-2700    Fax: 843-571-2124
Mira Kraft, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2230 Ashley Crossing Dr, Charleston, SC 29414
Phone: 843-766-5228    
Mrs. Alysson Miller Goodwin, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 29 Race St, Charleston, SC 29403
Phone: 318-792-1696    
Amanda Prester Beacham, OTR/L
Occupational Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 45 Sycamore Ave Apt 917, Charleston, SC 29407
Phone: 843-900-6202    Fax: 843-574-8858
Mary Katherine Melroy, O.T.R.
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 236 Confederate Cir, Charleston, SC 29407
Phone: 843-718-5898    
Julia Gilkerson, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 34 Colleton Dr, Charleston, SC 29407
Phone: 843-991-7709    
Leslie Newton-fites, OT
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 1 Bishop Gadsden Way, Charleston, SC 29412
Phone: 843-406-6302    Fax: 843-406-6540

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.