MR. MARK P GREMILLION OT
NPI 1134284557
Occupational Therapist in Jennings, LA
NPI Status: Active since December 26, 2006
Contact Information
2002 JOHNSON ST STE 100
JENNINGS, LA
ZIP 70546
Phone: (337) 824-4547
Fax: (337) 824-4548
- Individual
- Male
- Years of Experience 39
- Occupational Therapist
- Accepts Insurance
- Accepts Medicare Approved Payment
About MARK GREMILLION
This page provides the complete NPI Profile along with additional information for Mark Gremillion, a provider established in Jennings, Louisiana with a medical specialization in Occupational Therapist and more than 39 years of experience. The healthcare provider is registered in the NPI registry with number 1134284557 assigned on December 2006. The practitioner's primary taxonomy code is 225X00000X with license number Z10533 (LA). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1134284557
- Provider Name
- MR. MARK P GREMILLION OT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2002 JOHNSON ST STE 100 JENNINGS, LA 70546
- Location Phone
- (337) 824-4547
- Location Fax
- (337) 824-4548
- Mailing Address
- 118 RICHLAND AVE LAFAYETTE, LA 70508
- Mailing Phone
- (337) 824-4547
- Mailing Fax
- (337) 824-4548
- Medical School Name
- OTHER
- Graduation Year
- 1987
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-26-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Occupational Therapist
- Taxonomy Code
- 225X00000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- Z10533
- License State
- LA
- Taxonomy Description
- An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Blue Max 70/50 $6700 - PPO
- Blue Max 90/70 $1500 - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $3300 - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - PPO
- Blue Saver 60/40 $6100 - PPO
- Blue Saver 90/70 $3200 - PPO
- Blue Connect 80/60 $3200 (L) - POS
- Blue Connect 80/60 $3200 (N) - POS
- Blue Connect 80/60 $3200 (S) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (L) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (N) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (S) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (L) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (N) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (S) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan (L) - POS
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5X881 | MEDICARE ID-TYPE UNSPECIFIED (04) | LA | OT MEDICARE # |
Medicare Participation & PECOS Enrollment Status
Mark Gremillion is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 3072597319
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20081024000131
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 3 | 4 | 2 | 8 | 4 | 5 | 5 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 6 | 4 | 4 | 8 | 8 | 5 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 6 + 4 + 4 + 8 + 8 + 5 + 1 + 0 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1134284557 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1376612879 | MR. JEFFEREY JAY PERSON MPT Individual | Physical Therapist | 2002 JOHNSON ST STE 100 JENNINGS, LA 70546 (337) 824-4547 |
| 1356537757 | MS. RACHEL E MANUEL SLP Individual | Speech-Language Pathologist | 2002 JOHNSON ST STE 100 JENNINGS, LA 70546 (337) 824-4547 |
| 1063913010 | MADELYN LANZA CF-SLP Individual | Speech-Language Pathologist | 2002 JOHNSON ST STE 100 JENNINGS, LA 70546 (337) 824-4547 |
| 1366934952 | JESSICA LINDON COTA Individual | Occupational Therapy Assistant | 2002 JOHNSON ST STE 100 JENNINGS, LA 70546 (337) 824-4547 |
| 1023585338 | CASEY D VILLANUEVA PT, DPT Individual | Physical Therapist | 2002 JOHNSON ST STE 100 JENNINGS, LA 70546 (337) 824-4547 |
| 1659848125 | BRITTANY L JONES PT, DPT Individual | Physical Therapist | 2002 JOHNSON ST STE 100 JENNINGS, LA 70546 (337) 824-4547 |
| 1487212163 | JAMES D DOROTICS LAT Individual | Specialist/Technologist (Athletic Trainer) | 2002 JOHNSON ST STE 100 JENNINGS, LA 70546 (337) 824-4547 |
| 1063055804 | JENNA PENTON M.S., CCC-SLP Individual | Speech-Language Pathologist | 2002 JOHNSON ST STE 100 JENNINGS, LA 70546 (337) 824-4547 |
| 1245835958 | JODIE SMITH PTA Individual | Physical Therapy Assistant | 2002 JOHNSON ST STE 100 JENNINGS, LA 70546 (337) 824-4547 |
| 1245835602 | ANDREW VERRET PTA Individual | Physical Therapy Assistant | 2002 JOHNSON ST STE 100 JENNINGS, LA 70546 (337) 824-4547 |
| 1629657705 | NATALIE CAMEL MCD, CCC-SLP Individual | Speech-Language Pathologist | 2002 JOHNSON ST STE 100 JENNINGS, LA 70546 (337) 824-4547 |
| 1497335434 | PAULA M THOMPSON LCOTA Individual | Occupational Therapy Assistant | 2002 JOHNSON ST STE 100 JENNINGS, LA 70546 (337) 824-4547 |
| 1912642950 | OLIVIA D GRANGER COTA Individual | Occupational Therapy Assistant | 2002 JOHNSON ST STE 100 JENNINGS, LA 70546 (337) 824-4547 |
| 1235655416 | CHRISTIN C MANUEL MS, LAT, ATC Individual | Specialist/Technologist (Athletic Trainer) | 2002 JOHNSON ST STE 100 JENNINGS, LA 70546 (337) 824-4547 |
| 1659091510 | NICHOLAS J BERTRAND PT, DPT Individual | Physical Therapist | 2002 JOHNSON ST STE 100 JENNINGS, LA 70546 (337) 824-4547 |
| 1184325276 | SUZETTE QUIRK PTA Individual | Physical Therapy Assistant | 2002 JOHNSON ST STE 100 JENNINGS, LA 70546 (337) 824-4547 |
| 1164935318 | DOUGLAS S GREENMAN PT, DPT Individual | Physical Therapist | 2002 JOHNSON ST STE 100 JENNINGS, LA 70546 (337) 824-4547 |
| 1750191219 | AARON BERGERON Individual | Student in an Organized Health Care Education/Training Program | 2002 JOHNSON ST STE 100 JENNINGS, LA 70546 (337) 824-4547 |
| 1013713692 | SIDNEY C DARTEZ PT, DPT Individual | Physical Therapist | 2002 JOHNSON ST STE 100 JENNINGS, LA 70546 (337) 824-4547 |
| 1447041223 | AARON J LEBLANC PT, DPT Individual | Physical Therapist | 2002 JOHNSON ST STE 100 JENNINGS, LA 70546 (337) 824-4547 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134284557, enumerated in the NPI registry as an "individual" on December 26, 2006
The provider is located at 2002 Johnson St Ste 100 Jennings, La 70546 and the phone number is (337) 824-4547
The provider's speciality is Occupational Therapist with taxonomy code 225X00000X
The provider has more than 39 years of experience.
The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on December 26, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.