Dr Vanessa Jaclyn Wilczak, DC in Jacksonville, FL - Medicare Chiropractor Provider

Dr Vanessa Jaclyn Wilczak, DC is a medicare enrolled "Chiropractor" provider in Jacksonville, Florida. Her current practice location is 10550 Deerwood Park Blvd Ste 609a, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 513-3954.

Dr Vanessa Jaclyn Wilczak is licensed to practice in Florida (license number CH9776) 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 1366775124.

Contact Information

	Dr Vanessa Jaclyn Wilczak, DC
	10550 Deerwood Park Blvd Ste 609a, Jacksonville, FL 32256-0596
	(904) 513-3954
	(904) 212-0223

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Vanessa Jaclyn Wilczak
Gender	Female
Speciality	Chiropractor
Location	10550 Deerwood Park Blvd Ste 609a, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366775124
Provider Enumeration Date: 09/11/2009
Last Update Date: 11/18/2024

Medicare PECOS Information:

PECOS PAC ID: 1658414412
Enrollment ID: I20100203000041

Medical Identifiers

Medical identifiers for Dr Vanessa Jaclyn Wilczak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366775124	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	X011698 (New York)	Secondary
111N00000X	Chiropractor	2009008265 (Missouri)	Secondary
111N00000X	Chiropractor	CH9776 (Florida)	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. Dr Vanessa Jaclyn Wilczak allows following entities to bill medicare on her behalf.

Provider Name	East Coast Neuro, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1124424643 PECOS PAC ID: 9830417948 Enrollment ID: O20150421000529

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. Dr Vanessa Jaclyn Wilczak 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
Dr Vanessa Jaclyn Wilczak, DC 4831 Florida Club Cir Apt 2203, Jacksonville, FL 32216-1088 Ph: (904) 264-0400	Dr Vanessa Jaclyn Wilczak, DC 10550 Deerwood Park Blvd Ste 609a, Jacksonville, FL 32256-0596 Ph: (904) 513-3954

Reviews and Comments

Chiropractor in Jacksonville, FL

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Dr. Jonathan Wojciechowski, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2467 Faye Rd, Suite 4, Jacksonville, FL 32226 Phone: 904-518-4555
Gianpaolo Antonino Passeggiata, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 10475 Centurion Pkwy N Ste 220, Jacksonville, FL 32256 Phone: 904-634-0640 Fax: 904-634-0203
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Dr Vanessa Jaclyn Wilczak, DC - Medicare Chiropractor in Jacksonville, FL