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

Dr Vanessa Jaclyn Wilczak, DC is a medicare enrolled "Chiropractor" provider in Orange Park, Florida. Her current practice location is 1564 Kingsley Ave, Clay Pain Center, Orange Park, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 264-0400.

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
	1564 Kingsley Ave, Clay Pain Center, Orange Park, FL 32073-4511
	(904) 264-0400
	(904) 264-0401

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Vanessa Jaclyn Wilczak
Gender	Female
Speciality	Chiropractor
Location	1564 Kingsley Ave, Orange Park, 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: 09/11/2009

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	CH9776 (Florida)	Primary
111N00000X	Chiropractor	X011698 (New York)	Secondary
111N00000X	Chiropractor	2009008265 (Missouri)	Secondary

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 1564 Kingsley Ave, Clay Pain Center, Orange Park, FL 32073-4511 Ph: (904) 264-0400

Reviews and Comments

Chiropractor in Orange Park, FL

Dr. William Philip Willis, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1413 Kingsley Ave, Orange Park, FL 32073 Phone: 904-264-3966 Fax: 904-278-7171
Agape Chiropractic Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 1871 Wells Rd, Orange Park, FL 32073 Phone: 843-213-8325
Dr. Joseph Michael Burnham, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 155 Blanding Blvd, Suite 8, Orange Park, FL 32073 Phone: 904-803-2982 Fax: 904-213-9806
Spinal Injury Centers Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1724 Village Way Ste B, Orange Park, FL 32073 Phone: 904-644-7034
Kelvin Lamont Bolar, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1218 Park Ave, Orange Park, FL 32073 Phone: 904-269-2437 Fax: 904-264-2330
Fleming Island Family Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 1835 East West Parkway, Suite 3, Orange Park, FL 32003 Phone: 904-264-3770 Fax: 904-264-5885
Jacksonville Injury & Rehab Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 859 Park Ave, Suite 102, Orange Park, FL 32073 Phone: 904-278-7411 Fax: 904-278-4446

Dr Vanessa Jaclyn Wilczak, DC - Medicare Chiropractor in Orange Park, FL